SearchIllinois225X00000X

Ellen Tanner, OTRL

NPI 1417172172 · on the registry since 2007

Practice

Address
4823 Storeyland Dr
Alton, IL 62002
Phone
(312) 593-4871
Clinicians at this address
2

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois