Individual
MS. DESIREE A PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IONM TECHNOLOGIST
Contact information
Practice address
1604 VISA DR STE 1, NORMAL, IL 61761-2195
(309) 846-4716
(309) 454-7348
Mailing address
1604 VISA DR STE 1, NORMAL, IL 61761-2195
(309) 846-4716
(309) 454-7348
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/08/2020
Last updated
05/22/2020
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