Individual
JUDY RAE EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 HIGHWAY 24, CAMP POINT, IL 62320-2218
(217) 455-3374
Mailing address
2050 HIGHWAY 24, CAMP POINT, IL 62320-2218
(217) 455-3374
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
IL
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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