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Individual

MRS. CHANDI K. EDMONDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPT, DPT

Contact information

Practice address
221 E. CULLERTON, UNIT 1120, CHICAGO, IL 60616-1498
(312) 593-3915
(312) 326-6009
Mailing address
221 E. CULLERTON, UNIT 1120, CHICAGO, IL 60616-1498
(312) 593-3915
(312) 326-6009

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070012346
IL
2251P0200X
Pediatric Physical Therapist
Primary
070012346
IL

Other

Enumeration date
01/08/2007
Last updated
02/02/2011
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