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Individual

MRS. ELLYN VANVALZAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
468 ROCK HALL CIR, GRAYSLAKE, IL 60030-1103
(847) 548-6259
Mailing address
468 ROCK HALL CIR, GRAYSLAKE, IL 60030-1103
(847) 548-6259

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
056.006059
IL

Other

Enumeration date
03/30/2015
Last updated
03/30/2015
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