Individual
MRS. CHRISTINE LODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-5500
Mailing address
37W700 VOLINTINE FARM RD, BATAVIA, IL 60510-5141
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
160001649
IL
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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