Individual
VICKI ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1900 W POLK ST STE 154, CHICAGO, IL 60612-3723
(312) 520-8835
Mailing address
1900 W POLK ST STE 154, CHICAGO, IL 60612-3723
(312) 520-8835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041371607
IL
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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