Individual provider · Type 1 NPI
Eden U. Padilla, MD
Military Health Care Provider · Great Lakes, IL
NPI number
1154380947
Active
Practice location
Uss Red Rover, Recruit Training Center
Great Lakes, IL 60088
Mailing address
4409 Lainie Circle
Glenview, IL 60026-1226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Other military health care provider providers in Great Lakes
About NPI 1154380947
Eden U. Padilla, MD's National Provider Identifier is 1154380947, issued on Mar 21, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Great Lakes, IL. The record was last updated on Jul 8, 2007.