Individual
MRS. KAREN THERESA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1084 BAYBROOK LN, CAROL STREAM, IL 60188-2957
(630) 212-4101
Mailing address
1084 BAYBROOK LN, CAROL STREAM, IL 60188-2957
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
KE71710206P
IL
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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