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Individual

ELIZABETH PANACKAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
50 E NORTHWEST HWY, MOUNT PROSPECT, IL 60056-3223
(847) 718-9201
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1940

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070022346
IL

Other

Enumeration date
09/12/2016
Last updated
09/12/2016
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