Provider Demographics
NPI:1447055116
Name:EDDINGS, ANGELA (CPT, CPI, CBHS, CCMA)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:EDDINGS
Suffix:
Gender:
Credentials:CPT, CPI, CBHS, CCMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6206 MARSH LN
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-1410
Mailing Address - Country:US
Mailing Address - Phone:708-822-5357
Mailing Address - Fax:
Practice Address - Street 1:6206 MARSH LN
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-1410
Practice Address - Country:US
Practice Address - Phone:708-822-5357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy