Individual
DAWN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6042 ROB ROY DR, OAK FOREST, IL 60452-1829
(217) 460-2076
Mailing address
6042 ROB ROY DR, OAK FOREST, IL 60452-1829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013994
IL
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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