Most Relevant Information
Provider Data
| NPI Number: | 1003278946 |
| Provider Name: | BEVERLY EHLEBRACHT |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 160.006158 |
Most Important Dates
| Enumeration Date: | 03/21/2016 |
| Last Updated: | 03/21/2016 |
Provider Practice Location
7409 WOODRIGE DR
SUITE F
WOODRIGE
IL
60517
Practice Location Phone/Fax
| Phone: | 6309672000 |
| Fax: |
Provider Mailing Location
1860 PAYSHERE CIR
CHICAGO
IL
606740001
Provider Mailing Phone/Fax
| Phone: | 6309672000 |
| Fax: |