Individual
PHILOMENA ODIASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
441 S DANTE AVE, GLENWOOD, IL 60425-2045
(708) 915-0920
(708) 960-0023
Mailing address
441 S DANTE AVE, GLENWOOD, IL 60425-2045
(708) 915-0920
(708) 960-0023
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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