Individual
MRS. FRANCES WEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1010 S RIDGE RD, MINOOKA, IL 60447-8810
(815) 521-4400
(815) 521-9709
Mailing address
1010 S RIDGE RD, MINOOKA, IL 60447-8810
(815) 521-4400
(815) 521-9709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9932202
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/16/2007
Last updated
08/16/2007
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