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Search › Illinois › 208M00000X

Tyler Edwards

NPI 1235634775 · on the registry since 2018 · sole proprietor

Practice

Address
251 E Huron St Ste 16-738
Chicago, IL 60611
Phone
(312) 926-5924
Fax
(312) 926-6134
Organisation at this address
Northwestern
Northwestern Memorial Hospital
Northwestern Memorial Hospital
Northwestern Memorial Hospital
Northwestern Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,688

Additional practice sites

  • 1740 W Taylor St, Chicago, IL

Registry record

Primary taxonomy
208M00000X
208M00000X
Also registered as
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois