Individual
ELLEN KAY GINISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7510 ODELL AVE, BRIDGEVIEW, IL 60455
(708) 642-7510
Mailing address
7510 ODELL AVE, BRIDGEVIEW, IL 60455
(708) 642-7510
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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