Individual
ANDREA ANN PAOLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
759 KANE ST, SOUTH ELGIN, IL 60177-1418
(847) 697-3310
Mailing address
22W405 JOHN CT, MEDINAH, IL 60157-9649
(630) 278-1125
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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