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Individual

MS. MARY ELLEN DAHM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
9011 MCVICKER AVE, MORTON GROVE, IL 60053-2422
(184) 796-6621
Mailing address
9011 MCVICKER AVE, MORTON GROVE, IL 60053-2422
(184) 796-6621

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160001369
IL

Other

Enumeration date
06/04/2010
Last updated
06/04/2010
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