Individual
ELIZABETH MARIE HALLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
439 W MELROSE ST APT 2B, CHICAGO, IL 60657-3846
(952) 956-4300
Mailing address
439 W MELROSE ST APT 2B, CHICAGO, IL 60657-3846
(952) 956-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009635
IL
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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