Organization · Type 2 NPI
Lela Iduna,p.c.
Clinic/Center · Woodstock, IL
NPI number
1073084398
Active
Practice location
110 S Johnson St Ste 206
Woodstock, IL 60098-3259
Mailing address
1222 Gerry St
Woodstock, IL 60098-3614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1073084398
Lela Iduna,p.c.'s National Provider Identifier is 1073084398, issued on Dec 16, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Woodstock, IL. The record was last updated on Dec 16, 2018.