Individual
ELLEN SUSAN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-5823
(847) 998-1188
Mailing address
304 BRYNN DR, MANHATTAN, IL 60442-9104
(815) 478-5248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070003885
IL
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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