Individual
EVELYN A VENTRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1551 BOND ST STE 111, NAPERVILLE, IL 60563-0150
(630) 637-4638
(630) 637-4642
Mailing address
1S376 SUMMIT AVE, COURT E, OAKBROOK TERRACE, IL 60181-3985
(630) 424-0392
(630) 424-0467
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
212.000180
IL
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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