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Individual

ERIN MAUREEN MCDERMOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
455 BUTLER DR, LAKE FOREST, IL 60045-3013
(216) 973-7468
Mailing address
1517 S BATES AVE, SPRINGFIELD, IL 62704-3347
(216) 973-7468

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.023522
IL
2251P0200X
Pediatric Physical Therapist
Primary
070.023522
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1134629777
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/20/2018
Last updated
12/05/2022
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