Provider Demographics
NPI:1548938046
Name:KUERZ, ELIZABETH MARY (MS)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARY
Last Name:KUERZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HILLTOP LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:IL
Mailing Address - Zip Code:62236-1544
Mailing Address - Country:US
Mailing Address - Phone:314-791-9669
Mailing Address - Fax:
Practice Address - Street 1:SWANSEA REHAB AND HEALTH
Practice Address - Street 2:1405 NORTH SECOND STREET
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226
Practice Address - Country:US
Practice Address - Phone:618-233-6625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.006356235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist