Individual
AMY E ODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2053 N HUMBOLDT BLVD, CHICAGO, IL 60647-3857
(773) 645-7542
Mailing address
2053 N HUMBOLDT BLVD, CHICAGO, IL 60647-3857
(773) 645-7542
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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