Individual
JUDITH M PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8312 S KEDZIE AVE, CHICAGO, IL 60652-3309
(773) 789-2747
Mailing address
8312 S KEDZIE AVE, CHICAGO, IL 60652-3309
(773) 789-2747
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
011.204549
IL
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
About Stedi
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