Individual
ELENA MARIE KURTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3636 N LEAVITT ST, CHICAGO, IL 60618-4822
(773) 248-9578
Mailing address
3636 N LEAVITT ST, CHICAGO, IL 60618-4822
(773) 248-9578
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
070-002504
IL
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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