Edwards, Jeanette
Edwards, Jeanette is an individual health care provider with primary practice located at 152 N Addison Ave Ste 200, Elmhurst IL 60126-2810. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Edwards, Jeanette can be contacted via phone (630) 832-3100.Contact Information
Primary practice address
152 N Addison Ave Ste 200
Elmhurst IL 60126-2810
Phone: (630) 832-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036097683 | Illinois |
Profile Details
| NPI number | 1144295643 |
|---|---|
| LBN Legal business name | Edwards, Jeanette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Aug 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144295643 | NPPES |
| Illinois | MEDICAID | 036097683 |
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