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Individual

MISS ELIZABETH OMOTAYO ABE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
070022228
IL
225100000X
Physical Therapist
Primary
070-022228
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021
IL
Enumeration date
12/20/2016
Last updated
02/06/2020
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