Individual
MS. ELAINE BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 VETERANS DR, MANTENO, IL 60950-9466
(815) 468-6581
Mailing address
6550 S NORMAL BLVD FL 1, CHICAGO, IL 60621-2633
(773) 971-7744
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
208.000123
IL
225200000X
Physical Therapy Assistant
06003842A
IN
225200000X
Physical Therapy Assistant
Primary
160004968
IL
225200000X
Physical Therapy Assistant
A0990
NV
Other
Enumeration date
02/17/2011
Last updated
04/19/2018
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