NPI 1033630496
Tony a Edeh
Practice location
- Address
- 7 Boulder Ridge CT, Bolingbrook, IL 60490-5534
- Phone
- (630) 300-4202
- Fax
- (630) 759-8636
Registered specialties (2)
Driver
Primary
Driver
Registry record
- NPI
- 1033630496
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Jul 2017
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.