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Individual

MRS. ELIZABETH J KEADY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
1415 S VINE AVE, PARK RIDGE, IL 60068-5414
(312) 933-7334
Mailing address
141.5 S. VINE STREET, PARK RIDGE, IL 60068
(312) 933-7334

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000172
IL

Other

Enumeration date
10/18/2012
Last updated
10/18/2012
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