Individual
MRS. ANDREA DANIELLE KIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(847) 441-5600
(847) 441-7968
Mailing address
1641 N MILWAUKEE AVE STE 7, LIBERTYVILLE, IL 60048-1350
(847) 362-6919
(847) 247-2221
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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