Individual
ANDIA XZURY ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 LIGHT RD APT 208, OSWEGO, IL 60543-9333
(331) 203-8524
Mailing address
1500 LIGHT RD APT 208, OSWEGO, IL 60543-9333
(331) 203-8524
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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