NPI 1003478579

Elizabeth Mardis

Practitioner Developmental Therapist Chicago, IL

Practice location

Address: 6132 S Vernon Ave # 2n, Chicago, IL 60637-2318
Phone: (872) 212-9416

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

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Registry record

NPI: 1003478579
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2019
Record last updated: 3 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.