Individual
ELLIE CAROL FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1318 WAUKEGAN RD, GLENVIEW, IL 60025-3022
(847) 486-4140
Mailing address
201 N SCHOOL ST, MOUNT PROSPECT, IL 60056-2542
(224) 257-2140
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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