Individual
MRS. LETITIA SUSAN EDGELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 LAWNDALE AVE., WOODSTOCK, IL 60098
(815) 527-7624
(815) 337-2032
Mailing address
503 LAWNDALE AVE, WOODSTOCK, IL 60098-4030
(815) 527-7624
(815) 337-2032
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
07/21/2022
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