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Individual

ELLEN M GBUREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11914 ILLINOIS RTE 59, SUITE 136, PLAINFIELD, IL 60585
(630) 381-0496
(815) 676-9090
Mailing address
11914 ILLINOIS RTE 59, SUITE 136, PLAINFIELD, IL 60585
(630) 381-0496
(815) 676-9090

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/21/2022
Last updated
02/21/2022
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