Individual
LISA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24020 W RIVERWALK CT STE 122, PLAINFIELD, IL 60544-7126
(815) 770-7060
Mailing address
24020 W RIVERWALK CT STE 122, PLAINFIELD, IL 60544-7126
(815) 770-7060
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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