MRS. Ellen Dial

NPI #1851845499 in Elgin, Illinois

Provider Information

NPI Number: 1851845499
Entity Type: Individual
Name: MRS. Ellen Dial
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 11, 2016
Last Updated: Aug 11, 2016

Practice Location

Address: 620 WING ST
City: Elgin
State: Illinois
ZIP Code: 60123-2800
Phone: (847) 529-9148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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