Edmiston, Anna Michelle

Edmiston, Anna Michelle is an individual health care provider with primary practice located at 300 N Milwaukee Ave Ste L , Lake Villa IL 60046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Edmiston, Anna Michelle can be contacted via phone (847) 356-0700.

Contact Information

Primary practice address
300 N Milwaukee Ave Ste L Lake Villa IL 60046
Phone: (847) 356-0700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036.146283 Illinois

Profile Details

NPI number 1386055762
LBN Legal business name Edmiston, Anna Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2014
Last updated Jul 25th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386055762 NPPES
Illinois Other 036.146283 ILLINOIS LICENSE

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