SearchIllinois172A00000X

Tony Edeh

NPI 1033630496 · on the registry since 2017

Practice

Address
7 Boulder Ridge Ct
Bolingbrook, IL 60490
Phone
(630) 300-4202
Fax
(630) 759-8636

Registry record

Primary taxonomy
172A00000X
172A00000X
Also registered as
172A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois