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NPI Code Detail

MEDICARE: LAURA ELIAS PT, DPT

MEDICARE:   LAURA  ELIAS  PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist070-014887IL

General Provider Information

NPI Number : 1235186198
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA ELIAS PT, DPT
Provider Business Mailing Address
First Line : 1333 W BELMONT AVE STE 350
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5785
Country : US
Telephone Number : 630-933-1500
Fax Number : 312-926-1377
Provider Business Practice Location Address
First Line : 1333 W BELMONT AVE STE 350
Second Line :
City : CHICAGO
State : IL
Zip : 60657-5785
Country : US
Telephone Number : 630-933-1500
Fax Number : 312-926-1377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2006
Last Update Date : 03/20/2025

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Directions to “ LAURA ELIAS PT, DPT” Practice Location

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