Dr Laura L Edwards, | |
1801 W Windsor Rd, Champaign, IL 61822-6217 | |
(217) 366-1257 | |
Not Available |
Full Name | Dr Laura L Edwards |
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Gender | Female |
Speciality | Pediatrics |
Location | 1801 W Windsor Rd, Champaign, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1326435074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 036146645 (Illinois) | Primary |
Entity Name | Christie Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332 |
Mailing Address | Practice Location Address |
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Dr Laura L Edwards, 101 W University Ave, Champaign, IL 61820-3981 Ph: (217) 366-1257 | Dr Laura L Edwards, 1801 W Windsor Rd, Champaign, IL 61822-6217 Ph: (217) 366-1257 |
Joseph J Keeley, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1801 Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257 Fax: 217-366-6106 | |
Myisha Z. Porter, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257 | |
Haley E Eastin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 W. Curtis Rd., Champaign, IL 61822 Phone: 217-365-6202 Fax: 217-326-0188 | |
Dr. Susan G. Bolton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 W Windsor Rd, Champaign, IL 61822 Phone: 217-366-1257 Fax: 217-366-6110 | |
Mark S Musselman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1701 W. Curtis Road, Pediatrics, Champaign, IL 61822 Phone: 217-365-6202 Fax: 217-326-1234 | |
Prudence Hartwell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6202 |