Individual
CHAD EVERETT UDELHOFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
910 2ND AVE, ROCKFORD, IL 61104-2162
(844) 473-6378
Mailing address
910 2ND AVE, ROCKFORD, IL 61104-2162
(844) 473-6378
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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