Individual
ELIZABETH ELLEN TOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
11411 183RD ST, ORLAND PARK, IL 60467-9450
(708) 478-1820
Mailing address
10415 OCONNELL AVE, MOKENA, IL 60448-1776
(708) 912-8072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056013742
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962680009
—
IL
Enumeration date
08/28/2020
Last updated
08/08/2023
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