Individual
MRS. LYDIA JODREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
121 S WILKE RD, #600, ARLINGTON HEIGHTS, IL 60005-1533
(847) 259-8379
Mailing address
525 S WARREN AVE, PALATINE, IL 60074-6423
(847) 749-4237
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209008114
IL
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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