Individual
MRS. ELLEN C BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.T.
Contact information
Practice address
1021 TROOST AVE, FOREST PARK, IL 60130-2156
(708) 771-5748
(708) 771-5748
Mailing address
1021 TROOST AVE, FOREST PARK, IL 60130-2156
(708) 771-5748
(708) 771-5748
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070006053
IL
Other
Enumeration date
03/15/2007
Last updated
07/09/2007
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