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Individual

MRS. ELIZABETH C EDEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/R

Contact information

Practice address
148 PARAMOUNT DR, WOOD DALE, IL 60191-1969
(773) 368-3177
Mailing address
148 PARAMOUNT DR, WOOD DALE, IL 60191-1969
(773) 368-3177

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
056010827
IL

Other

Enumeration date
12/13/2014
Last updated
12/13/2014
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