Individual
ANDREW ODENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6708 RELIABLE PKWY, CHICAGO, IL 60686-0067
(309) 231-0708
Mailing address
112 NE MADISON AVE, PEORIA, IL 61602-1109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.021948
IL
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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