Most Relevant Information
Provider Data
| NPI Number: | 1003329848 |
| Provider Name: | ELIZABETH DOROTHY YOUNG |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 146.001759 |
Most Important Dates
| Enumeration Date: | 11/15/2017 |
| Last Updated: | 11/15/2017 |
Provider Practice Location
1750 MADRON RD
ROCKFORD
IL
611072459
Practice Location Phone/Fax
| Phone: | 8152292492 |
| Fax: |
Provider Mailing Location
3603 SHATTUCK LN
ROCKFORD
IL
611148194
Provider Mailing Phone/Fax
| Phone: | 8152986167 |
| Fax: |