Individual
ELENA VASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
5793 N LINCOLN AVE, CHICAGO, IL 60659-4722
(773) 561-6370
Mailing address
5793 N LINCOLN AVE, CHICAGO, IL 60659-4722
(773) 561-6370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.018858
IL
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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