| Elizabeth Fuentes, CCC SLP | |
|
1136 Kristin Dr, Libertyville, IL 60048-1281 | |
| (847) 508-1098 | |
| Not Available |
| Full Name | Elizabeth Fuentes |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 16 Years |
| Location | 1136 Kristin Dr, Libertyville, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548585300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 24201157 (Illinois) | Secondary |
| 235Z00000X | Speech-language Pathologist | 146010183 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689141376 PECOS PAC ID: 2163339722 Enrollment ID: O20200427002510 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Fuentes, CCC SLP 1136 Kristin Dr, Libertyville, IL 60048-1281 Ph: (847) 508-1098 | Elizabeth Fuentes, CCC SLP 1136 Kristin Dr, Libertyville, IL 60048-1281 Ph: (847) 508-1098 |
Elizabeth Anne Day, M.A, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 800 S Milwaukee Ave, Suite220, Libertyville, IL 60048 Phone: 847-918-7947 Fax: 847-918-9622 | |
Kyra Ritchie, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 771 Kenwood Ave, Libertyville, IL 60048 Phone: 847-544-6570 | |
Cynthia Bryant, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1860 W Winchester Rd Ste 108, Libertyville, IL 60048 Phone: 847-842-0597 | |
Alyssa L Fuggiti, CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1870 W Winchester Rd, Suite 203, Libertyville, IL 60048 Phone: 847-816-7200 Fax: 847-816-7210 | |
Andrea Rene Dell'aquila, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1288 Briarwood Ln, Libertyville, IL 60048 Phone: 219-218-8232 | |
Kylie Dyer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 854 Technology Way, Libertyville, IL 60048 Phone: 847-816-7200 | |
Margot Greenwald, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1870 W Winchester Rd, Suite 203, Libertyville, IL 60048 Phone: 847-816-7200 Fax: 847-816-7210 |