NPI 1154380947

Eden U Padilla, MD

Practitioner Military Health Care Provider Great Lakes, IL

Practice location

Address: Uss Red Rover Recruit Training Center, Great Lakes, IL 60088
Phone: (847) 688-4909
Mailing address: 4409 Lainie Circle, Glenview, IL 60026-1226

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

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Registry record

NPI: 1154380947
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2006
Record last updated: 8 Jul 2007

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.