Individual
LEVITE JUDAH BIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
3224 S PARK AVE, HERRIN, IL 62948-3715
(618) 740-0949
Mailing address
102 HIGH POINT LN, DONGOLA, IL 62926-1024
(618) 306-3896
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
06052987
IL
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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