Individual
CHARITY PIDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
254 CIMARRON RD W, LOMBARD, IL 60148-1456
(630) 989-8795
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.279682
IL
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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