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Individual

MRS. EVELYN ADDIE EDMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1010 DIXIE HWY, STATE OF ILLINOIS DEPT. OF HUMAN SERVICES, CHICAGO HEIGHTS, IL 60411
(708) 709-3316
Mailing address
1010 DIXIE HWY, STATE OF ILLINOIS DEPT. OF HUMAN SERVICES, CHICAGO HEIGHTS, IL 60411

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-212533
IL

Other

Enumeration date
11/22/2023
Last updated
11/22/2023
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