Individual
MR. ELEAZAR ELEGINO NELLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
578 COMMERCIAL ST., MARSEILLES, IL 61341
(815) 795-5121
Mailing address
1284 TWILIGHT DR., MORRIS, IL 60450
(770) 773-5123
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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