Individual
MR. ELDRIDGE CHARLES FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3634 S PRAIRIE AVE, CHICAGO, IL 60653-1009
(312) 523-7258
(773) 373-8085
Mailing address
3634 S PRAIRIE AVE, CHICAGO, IL 60653-1009
(312) 523-7258
(773) 373-8085
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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