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Ivory Waddell
NPI 1801371471 · on the registry since 2018 · sole proprietor
Practice
- Address
- 3220 Adams St
Bellwood, IL 60104 - Phone
- (708) 544-5677
- Organisation at this address
- Change Homehealth
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-30
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