Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILOMENA ODIASE
Active Sole ProprietorPHILOMENA ODIASE is a Community/Behavioral Health healthcare provider located in GLENWOOD, Illinois. NPI 1790161701 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · GLENWOOD, IL
Registration Details
- NPI Number
- 1790161701
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2015 (10.842533762674 yrs)
- Last Updated
- Aug 3, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
441 S DANTE AVEGLENWOOD, IL, 604252045Browse IL providers · Browse ZIP 60425
- Phone
- 7089150920
- Fax
- 7089600023
- Primary Specialty
-
Community/Behavioral Health
251S00000X
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.