Individual
ELISE S MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 799-8000
Mailing address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070020826
IL
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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