Individual
CLAUDIA M WEDDABURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
RESURRECTION IMMEDIATE CARE CENTER, 7230 W. NORTH AVE STE 106 B, ELMWOOD PARK, IL 60707-4262
(708) 453-3000
(708) 453-4660
Mailing address
4343 N CLARENDON AVE, APT 1902, CHICAGO, IL 60613-2698
(773) 871-2457
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036069378
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069378
—
IL
01
—
1619414
BCBS GROUP
IL
01
—
1620469
BCBS GROUP NUMBER
IL
Enumeration date
07/26/2006
Last updated
04/29/2009
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