Edwards, Wallis Olivia

Edwards, Wallis Olivia is an individual health care provider with primary practice located at 2723 Sheridan Rd Ste C , Zion IL 60099-2616. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Edwards, Wallis Olivia can be contacted via phone (847) 360-4260.

Contact Information

Primary practice address
2723 Sheridan Rd Ste C Zion IL 60099-2616
Phone: (847) 360-4260
Fax: (847) 360-4159
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036163896 Illinois

Profile Details

NPI number 1427676113
LBN Legal business name Edwards, Wallis Olivia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2020
Last updated May 16th, 2023 - about 2 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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