Provider Demographics
NPI:1871771865
Name:MCELHENY, ERIN (DPT)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:MCELHENY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:MCELHENY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:149 LE JEUNE AVE
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-3139
Mailing Address - Country:US
Mailing Address - Phone:630-776-9216
Mailing Address - Fax:
Practice Address - Street 1:300 READ ST
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-3265
Practice Address - Country:US
Practice Address - Phone:630-776-9216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-015715225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL2993004Medicare PIN
IL202845065Medicare PIN
IL214708017Medicare PIN
IL209796014Medicare PIN