Individual
ELLEN L. PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036109213
IL
207K00000X
Allergy & Immunology Physician
T9476
TX
Other
Enumeration date
10/15/2006
Last updated
12/13/2023
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