SearchIllinois174400000X

Judith Penn

NPI 1811471808 · on the registry since 2018

Practice

Address
8312 S Kedzie Ave
Chicago, IL 60652
Phone
(773) 789-2747

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-09-17

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