Individual
MISS ELIZABETH VONGONTARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2515 N CLARK ST, CHICAGO, IL 60614-2730
(312) 227-6240
Mailing address
2000 N LINCOLN PARK W UNIT 1110, CHICAGO, IL 60614-4708
(314) 766-3930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023287
IL
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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