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Individual

ELANA ESTHER GORDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3101 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 366-1323
(217) 366-5382
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1323

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070028384
IL
225100000X
Physical Therapist
14155-24
WI

Other

Enumeration date
05/22/2018
Last updated
10/02/2024
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