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Individual

MRS. CADY ELREDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
3234 W FULLERTON AVE, CHICAGO, IL 60647-2594
(773) 466-9882
Mailing address
922 NORTH BLVD APT 408, OAK PARK, IL 60301-1242
(469) 777-1133

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001409
IL
171100000X
Acupuncturist
198001409
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
198.001409
STATE OF ILLINOIS DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATION
IL
Enumeration date
01/24/2019
Last updated
07/07/2019
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