# LELA IDUNA,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EnLiven Me
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073084398
- **Authorized official:** DR. LELA IDUNA MD (DIRECTOR)
- **Authorized official phone:** (510) 666-5062

## Contact information

- **Practice address:** 110 S JOHNSON ST STE 206, WOODSTOCK, IL 60098-3259
- **Practice address phone:** (815) 355-1605
- **Mailing address:** 1222 GERRY ST, WOODSTOCK, IL 60098-3614
- **Mailing address phone:** (510) 666-5062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2018
- **Last updated:** 12/16/2018