SearchIllinoisStudent in an Organized Health Care Education/Training Program

Maxwell Edmonds

NPI 1306238142 · on the registry since 2015 · sole proprietor

Practice

Address
3324 N Clifton Ave Apt 2f
Chicago, IL 60657
Phone
(401) 480-1194
Clinicians at this address
3

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-05

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