Individual
ELLY HEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6912 176TH PL, TINLEY PARK, IL 60477-3841
(708) 215-0364
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1707
NE
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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