Individual provider · Type 1 NPI

Tony A. Edeh

Driver · Bolingbrook, IL

NPI number 1033630496 Active

Practice location

7 Boulder Ridge Ct
Bolingbrook, IL 60490-5534

Fax (630) 759-8636

Specialties and licenses

TaxonomyCodeLicense
Driver 172A00000XNone listed
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1033630496

Tony A. Edeh's National Provider Identifier is 1033630496, issued on Jul 6, 2017. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bolingbrook, IL. The record was last updated on Jul 21, 2022.