Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 070020596 | IL |
Y | 2251N0400X | Physical Therapist - Neurology | 070020596 | IL |
NPI | 1003236209 |
---|---|
Provider Name | Dr. Elizabeth Kliver |
First Address | Chicago, IL 60611-2654 |
Second Address | Chicago, IL 60611-2654 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2014 |
Last Update Date | 27/04/2014 |