Sheldon L Edelson Md Sc | |
4640 N Marine Dr A6200 Chicago IL 60640-5719 | |
(773) 334-8633 | |
(773) 334-8681 |
Full Name | Sheldon L Edelson Md Sc |
---|---|
Speciality | Internal Medicine |
Location | 4640 N Marine Dr, Chicago, Illinois |
Authorized Official Name and Position | Sheldon Edelson (PRESIDENT) |
Authorized Official Contact | 7733348633 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sheldon L Edelson Md Sc 4640 N Marine Dr A6200 Chicago IL 60640-5719 Ph: (773) 334-8633 | Sheldon L Edelson Md Sc 4640 N Marine Dr A6200 Chicago IL 60640-5719 Ph: (773) 334-8633 |
NPI Number | 1316029499 |
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Provider Enumeration Date | 10/19/2006 |
Last Update Date | 09/25/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316029499 | NPI | - | NPPES |
0021608860 | Other | IL | BLUECROSS/BLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Illinois) | Primary |
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