Individual
ELLEN CONROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3713 N KILDARE AVE, CHICAGO, IL 60641-3045
(773) 255-3429
Mailing address
3713 N KILDARE AVE, CHICAGO, IL 60641-3045
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.002900
IL
Other
Enumeration date
05/01/2010
Last updated
05/01/2010
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