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1801371471
IVORY WADDELL
BELLWOOD, IL
NPI
1801371471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
(Licence: IL D14138856)
Enumeration Date
2018-09-30
Last Update Date
2018-09-30
Business Address
IVORY WADDELL
3220 ADAMS ST
BELLWOOD, IL 60104-2232
Phone number: 708-544-5677
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Mailing Address
IVORY WADDELL
3220 ADAMS ST
BELLWOOD, IL 60104-2232
Phone number: 708-544-5677
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