Individual
ELIZABETH C. RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4948 BENCHMARK CENTRE DR, SWANSEA, IL 62226-2027
(618) 628-2588
(618) 628-1363
Mailing address
4948 BENCHMARK CENTRE DR, SWANSEA, IL 62226-2027
(618) 628-2588
(618) 628-1363
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004498
IL
Other
Enumeration date
03/06/2009
Last updated
01/03/2020
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