Individual
BAILEY RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH
Contact information
Practice address
2310 W ROOSEVELT RD, CHICAGO, IL 60608-1131
(312) 655-7000
Mailing address
2310 W ROOSEVELT RD, CHICAGO, IL 60608-1131
(312) 655-7000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362170821-059
—
IL
Enumeration date
11/02/2022
Last updated
11/02/2022
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