Individual
MS. JUDITH TEIBLOOM-MISHKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
9222 RIDGEWAY AVE, EVANSTON, IL 60203-1511
(847) 679-2246
Mailing address
9222 RIDGEWAY AVE, EVANSTON, IL 60203-1511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.250064
IL
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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