Individual ProviderElizabeth Ann NordbySpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1016 N Marshfield Ave, # 1, Chicago, IL 60622-3820(773) 220-6812(773) 486-0176PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Ann Nordby does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1134227879Provider TypeIndividualFull NameNordby, Elizabeth AnnTitleMrs.CredentialMA CCCSLPLGenderFemaleSole ProprietorNoEnumeration Date9/20/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1016 N Marshfield Ave, # 1, Chicago, IL 60622-3820Phone(773) 220-6812Fax(773) 486-0176Mailing LocationMailing Address1016 N Marshfield Ave, # 1, Chicago, IL 60622-3820Phone(773) 486-0176Fax(773) 486-0176Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted IssuerIllinoisProvider IdentifiersIDDescriptionIssuerID1635115DescriptionOtherIssuerBLUE CROSS BLUE SHIELDIllinois