Organization
LELA IDUNA,P.C.
Active
Other names
EnLiven Me
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELA IDUNA MD (DIRECTOR)
(510) 666-5062
Entity
Organization
Contact information
Practice address
110 S JOHNSON ST STE 206, WOODSTOCK, IL 60098-3259
(815) 355-1605
Mailing address
1222 GERRY ST, WOODSTOCK, IL 60098-3614
(510) 666-5062
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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