Provider Demographics
NPI:1285103234
Name:MCERLEAN, ABIGAIL ELEANOR (DPT)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:ELEANOR
Last Name:MCERLEAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3478 N BROADWAY ST UNIT 330
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-6968
Mailing Address - Country:US
Mailing Address - Phone:708-205-0630
Mailing Address - Fax:
Practice Address - Street 1:3240 N HALSTED ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-3414
Practice Address - Country:US
Practice Address - Phone:773-281-4220
Practice Address - Fax:773-281-4228
Is Sole Proprietor?:No
Enumeration Date:2018-11-20
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT34231225100000X
IL070.026545225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist