Mindy S Ely
NPI #1912194432 in Springfield, Illinois
Provider Information
- NPI Number
- 1912194432
- Entity Type
- Individual
- Name
- Mindy S Ely
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 28, 2007
- Last Updated
- Sep 28, 2007
Practice Location
- Address
- 30 DRAWBRIDGE RD
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-5247
- Phone
- (217) 899-1193
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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