Individual
LISA MAUREEN ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RCP
Contact information
Practice address
16347 S CANTERBURY WAY, LOCKPORT, IL 60441-2995
(708) 301-3796
Mailing address
16347 S CANTERBURY WAY, LOCKPORT, IL 60441-2995
(708) 301-3796
Taxonomy
Speciality
Code
Description
License number
State
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
Primary
194004105
IL
Other
Enumeration date
04/26/2007
Last updated
09/09/2013
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