Ellen Field, DT

NPI #1225166721 in Deerfield, Illinois

Provider Information

NPI Number: 1225166721
Entity Type: Individual
Name: Ellen Field, DT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: DT
Enumeration Date: Feb 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 678 MALLARD LN
City: Deerfield
State: Illinois
ZIP Code: 60015-3630
Phone: (847) 707-4456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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