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Organization

GANFIELD MFR THERAPEUTICS LTD

Active
Other names
Ganfield Therapeutics
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELIZABETH GANFIELD O.T. (OWNER PRESIDENT)
(847) 244-7070
Entity
Organization

Contact information

Practice address
1125 N DELANY RD, GURNEE, IL 60031-2007
(847) 244-7070
(847) 244-7071
Mailing address
1125 N DELANY RD, GURNEE, IL 60031-2007
(847) 244-7070
(847) 244-7071

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056000230
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04926912
BCBS OF IL
IL
Enumeration date
03/06/2007
Last updated
06/28/2010
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