| Edge Medical Services | |
|
520 Judson Ave Evanston IL 60202-3084 | |
| (210) 787-8344 | |
| (866) 399-0991 |
| Full Name | Edge Medical Services |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 520 Judson Ave, Evanston, Illinois |
| Authorized Official Name and Position | Victoria Lee (ADMIN) |
| Authorized Official Contact | 2107878344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edge Medical Services 1141 N Loop 1604 E # 105187 San Antonio TX 78232-1339 Ph: () - | Edge Medical Services 520 Judson Ave Evanston IL 60202-3084 Ph: (210) 787-8344 |
| NPI Number | 1821535188 |
|---|---|
| Provider Enumeration Date | 01/25/2017 |
| Last Update Date | 01/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821535188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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