Dori Lee Elmore

NPI #1205659927 in Homewood, Illinois

Provider Information

NPI Number: 1205659927
Entity Type: Individual
Name: Dori Lee Elmore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Nov 1, 2024
Last Updated: Nov 3, 2024

Practice Location

Address: 18409 COWING CT
City: Homewood
State: Illinois
ZIP Code: 60430-3334
Phone: (217) 454-2985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary
Early Intervention Provider Agency	252Y00000X

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