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Individual

ELYSE KUSHNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
158 S WAUKEGAN RD, DEERFIELD, IL 60015-5203
(847) 480-1280
(847) 480-1279
Mailing address
481 E DUNDEE RD, WHEELING, IL 60090-3121

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012402
IL

Other

Enumeration date
02/19/2007
Last updated
12/05/2012
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