Individual
KATHLEEN REDICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 BOBWHITE LN, NEW LENOX, IL 60451-8596
(708) 307-4491
Mailing address
624 BOBWHITE LN, NEW LENOX, IL 60451-8596
(708) 307-4491
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
R32551378609
IL
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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