Individual
ELLEN WELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
814 HILLGROVE AVE, WESTERN SPRINGS, IL 60558-1439
(708) 505-3900
(708) 505-4647
Mailing address
814 HILLGROVE AVE, WESTERN SPRINGS, IL 60558-1439
(708) 505-3900
(708) 505-4647
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018440
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070018440
—
IL
Enumeration date
06/22/2011
Last updated
04/03/2014
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