Paul Pedersen's National Provider Identifier (NPI) Details
Paul Pedersen, LSW
NPI: 1609386168
Enumeration Date: 2017-10-10
Last updated: 2024-08-06
Sole Proprietor: YES
Status: active
Postal Address: 105 E BURLINGTON ST, RIVERSIDE, IL
Phone: 708-745-5277
Primary Practice Address: 5220 EAST AVE, COUNTRYSIDE, IL
Practice's phone: 708-995-3598