Paul Edwards, PMHNP | |
1440 Renaissance Dr Ste 320, Park Ridge, IL 60068-1471 | |
(847) 759-9110 | |
Not Available |
Full Name | Paul Edwards |
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Gender | Male |
Speciality | Registered Nurse - Psychiatric/mental Health |
Location | 1440 Renaissance Dr Ste 320, Park Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073060620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | 209.014442 (Illinois) | Primary |
Entity Name | Lutheran Social Services Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063637684 PECOS PAC ID: 2163403551 Enrollment ID: O20050322001114 |
Mailing Address | Practice Location Address |
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Paul Edwards, PMHNP 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068-1471 Ph: (847) 759-9110 | Paul Edwards, PMHNP 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068-1471 Ph: (847) 759-9110 |
Ms. Delicia Holmes, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1580 N Northwest Hwy Ste 121a, Park Ridge, IL 60068 Phone: 847-813-5779 Fax: 847-813-5216 | |
Ava Marie Margitza, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 231 N Northwest Hwy, Park Ridge, IL 60068 Phone: 773-942-6336 | |
Ms. Bridget Faith Cantrell, APN, ACNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1700 Luther Ln Ste 1170, Park Ridge, IL 60068 Phone: 844-376-3876 Fax: 847-723-2041 | |
Rachel Kriz, DNP, FNP-BC Registered Nurse Medicare: Medicare Enrolled Practice Location: 1775 Ballard Rd, Park Ridge, IL 60068 Phone: 847-318-2400 | |
Mrs. Mary Kate Sweeney, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-6880 | |
Patricia Ann Hagenbart, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 202 Elmore St., Park Ridge, IL 60068 Phone: 847-696-9395 |