Individual
MS. ELAINE MARIE GUDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
208 MILLINGTON WAY, ST CHARLES, IL 60174-6908
(847) 624-0822
Mailing address
208 MILLINGTON WAY, ST CHARLES, IL 60174-6908
(847) 624-0822
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
161966-030
WI
Other
Enumeration date
10/07/2008
Last updated
06/22/2009
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