Individual
HOLLY ELIZABETH DEROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
635 W BRIAR PL APT 4, CHICAGO, IL 60657-7297
(847) 340-6796
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.020984
IL
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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