Individual
DR. EDEN LOUISE PAPPO LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
321 N LA GRANGE RD, LA GRANGE PARK, IL 60526-5622
(708) 485-1271
Mailing address
321 N LA GRANGE RD, LA GRANGE PARK, IL 60526-5622
(708) 485-1271
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.143392
IL
207R00000X
Internal Medicine Physician
125062828
IL
Other
Enumeration date
07/15/2013
Last updated
03/07/2023
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