Individual
ABIGAIL ROSE ELTZROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7447 W TALCOTT AVE STE 182, CHICAGO, IL 60631-3712
(773) 792-5155
Mailing address
7447 W TALCOTT AVE STE 182, CHICAGO, IL 60631-3712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.086321
IL
390200000X
Student in an Organized Health Care Education/Training Program
125-
IL
Other
Enumeration date
04/02/2025
Last updated
06/16/2025
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