Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ISABEL MARIE ODOM
Active Sole ProprietorISABEL MARIE ODOM is a Mental Health Clinic healthcare provider located in DEKALB, Illinois. NPI 1740019801 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · DEKALB, IL
Registration Details
- NPI Number
- 1740019801
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2024 (2.0771145041822 yrs)
- Last Updated
- Jul 29, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1325 SYCAMORE RDDEKALB, IL, 601152483Browse IL providers · Browse ZIP 60115
- Phone
- 8157588616
- Primary Specialty
-
Mental Health Clinic
261QM0801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.