Search › Illinois › 163WH0200X
Joanna Tedford
NPI 1326502998 · on the registry since 2019 · sole proprietor
Practice
- Address
- 4174 Starlight Ave
Decatur, IL 62526 - Phone
- (217) 521-5240
- Organisation at this address
- Joanna Tedford
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-28
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