Individual
ELIZABETH BRIANNE TULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 CARPENTER AVE, PLAINFIELD, IL 60586-5038
(815) 342-5944
Mailing address
2215 CARPENTER AVE, PLAINFIELD, IL 60586-5038
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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