Individual
ELIDIA CARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
602 CENTER PKWY, YORKVILLE, IL 60560-1499
(630) 553-4382
Mailing address
602 CENTER PKWY, YORKVILLE, IL 60560-1499
(630) 553-4382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.017510
IL
225100000X
Physical Therapist
070017510
IL
Other
Enumeration date
09/10/2012
Last updated
04/30/2018
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