Individual
MS. ELIZABETH GANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1125 N DELANY RD, GURNEE, IL 60031-2007
(847) 234-4707
(847) 244-7071
Mailing address
24014 W RENWICK RD, STE F, PLAINFIELD, IL 60544-8708
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056000230
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04926912
BCBS
IL
Enumeration date
08/23/2007
Last updated
02/23/2021
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