Individual
ELIA G FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41W400 SILVER GLEN RD # D1, ST CHARLES, IL 60175-8453
(630) 809-4587
Mailing address
46 MAGNOLIA DR, STREAMWOOD, IL 60107-3304
(630) 809-4587
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041404881
IL
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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