Individual
ELLA M. TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8011 S VERNON AVE APT 3, CHICAGO, IL 60619-3709
(773) 808-1461
Mailing address
8011 S VERNON AVE APT 3, CHICAGO, IL 60619-3709
(773) 808-1461
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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