Individual
ELLEN HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
101 WAUKEGAN RD STE 1100, LAKE BLUFF, IL 60044-3012
(847) 247-2402
(847) 247-2405
Mailing address
900 RAND RD STE 300, DES PLAINES, IL 60016-2359
(847) 324-3976
(847) 929-1154
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
02/14/2018
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