Individual
ELLEN FIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
678 MALLARD LN, DEERFIELD, IL 60015-3630
(847) 707-4456
(847) 459-7809
Mailing address
678 MALLARD LN, DEERFIELD, IL 60015-3630
(847) 707-4456
(847) 459-7809
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06521198P
IL
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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