Individual
MRS. ILEANA ANTONIA ELICIER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5TH AVE. & ROOSEVELT RD., HINES VA (117-G), HINES, IL 60141
(708) 202-8387
(708) 202-2281
Mailing address
610 PHEASANT LN, DEERFIELD, IL 60015-3637
(847) 215-8284
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 3167
FL
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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