Individual
MRS. IDA ANN ANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
144 CHESTNUT LN, BOLINGBROOK, IL 60490-1005
(630) 674-2639
Mailing address
144 CHESTNUT LN, BOLINGBROOK, IL 60490-1005
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
041.356618
IL
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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