Organization
ANDREW WAHL AND ADA PAOLUCCI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADA VERA PAOLUCCI DPM (OWNER)
(815) 436-3555
Entity
Organization
Contact information
Practice address
1960 ESSINGTON RD, STE 103, JOLIET, IL 60435-1617
(815) 436-3555
(815) 436-3578
Mailing address
1960 ESSINGTON RD, STE 103, JOLIET, IL 60435-1617
(815) 436-3555
(815) 436-3578
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0016004462
IL
213E00000X
Podiatrist
Primary
—
IL
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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