Individual
PATIENCE EDARENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14546 S MUSKEGON AVE APT 3B, BURNHAM, IL 60633-2550
(708) 369-7297
Mailing address
14546 S MUSKEGON AVE APT 3B, BURNHAM, IL 60633-2550
(708) 369-7297
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174200000X
Meals Provider
—
IL
246Q00000X
Pathology Specialist/Technologist
—
—
247200000X
Other Technician
Primary
—
—
374U00000X
Home Health Aide
—
IL
376J00000X
Homemaker
—
IL
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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