Individual
ELLEN FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-2539
Mailing address
1918 W ROSCOE ST APT 2, CHICAGO, IL 60657-1152
(773) 680-6616
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.016519
IL
Other
Enumeration date
04/13/2018
Last updated
01/17/2023
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