Individual
ELLE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
930 N CLARK ST UNIT I, CHICAGO, IL 60610-8705
(314) 488-6191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023349
IL
Other
Enumeration date
03/16/2021
Last updated
04/04/2024
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