Individual
ELYSE BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
430 PENNSYLVANIA AVE STE 240, GLEN ELLYN, IL 60137-4464
(630) 967-2000
(630) 545-7816
Mailing address
PO BOX 713260, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-024714
IL
Other
Enumeration date
08/06/2019
Last updated
05/25/2023
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