Individual
MRS. AMADA LUCIA CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12832 WOOD ST, BLUE ISLAND, IL 60406-3437
(708) 743-3932
Mailing address
12832 WOOD ST, BLUE ISLAND, IL 60406-3437
(708) 743-3932
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
C63101248751
IL
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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