EDGE MEDICAL SERVICES (NPI# 1821535188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821535188 |
Entity Type | Organization |
Organization Name | EDGE MEDICAL SERVICES |
Practice Address |
520 Judson Ave Evanston IL 60202-3084 |
Mailing Address |
1141 N Loop 1604 E # 105187 San Antonio TX 78232-1339 |
Practice Telephone | 2107878344 |
Practice Fax Number | 8663990991 |
Mailing Fax Number | 8663990991 |
Enumeration Date | 2017-01-25 |
Last Update Date | 2017-01-25 |
Authorized Official Name | VICTORIA LEE (ADMIN) |
Authorized Official Telephone | 2107878344 |
Is Organization Subpart | Y |
Parent Organization Name | EDGE MEDICAL SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477070555 | Edge Medical Services | Clinic/Center | 881 Terrace 49, Los Angeles, CA 90042-3149 | 2017-08-29 |
1851818934 | Edge Medical Services | Clinic/Center | 23548 Lyons Ave Ste B, Newhall, CA 91321-5782 | 2017-08-29 |
1609307529 | Edge Medical Services | Clinic/Center | 617 N 17th St Ste 200, Colorado Springs, CO 80904-3580 | 2017-03-22 |
1457891418 | Edge Medical Services | Clinic/Center | W4456 Highway 63, Springbrook, WI 54875-9421 | 2017-02-24 |
1063951176 | Edge Medical Services | Clinic/Center | 2406 Hughitt Ave, Superior, WI 54880-4944 | 2017-02-22 |
1477091783 | Edge Medical Services | Clinic/Center | 8720 Anglewood Ct, Colorado Springs, CO 80920-5347 | 2017-02-07 |
1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
1205372935 | Edge Medical Services | Clinic/Center | 8976 Jenkins Rd, Cotton, MN 55724-8017 | 2017-01-19 |
1407307994 | Edge Medical Services | Clinic/Center | 1845 Rd 604, Farmersville, TX 75442-6605 | 2016-10-19 |
1003367681 | Edge Medical Services | Clinic/Center | 545 S 670 E, Orem, UT 84097-6453 | 2016-10-19 |
Street Address |
520 JUDSON AVE |
City | EVANSTON |
State | IL |
Zip Code | 60202-3084 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568761229 | Barbara Anne Belcore-walkden | Midwife | 520 Judson Ave, Evanston, IL 60202-3084 | 2011-03-21 |
1912444274 | National Birth Centers, Inc | Clinic/Center | 520 Judson Ave, Evanston, IL 60202-3084 | 2017-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
Find all providers in zip 60202 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336624857 | Community Birth Group | Clinic/Center | 715 Austin St Apt 1e, Evanston, IL 60202-3475 | 2018-10-01 |
1447484381 | Ihc Health Services Inc | Clinic/Center | 150 Arrowhead Dr, Evanston, WY 82930-9353 | 2009-05-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184221004 | Live Ignite Thrive Limited | Clinic/Center | 6564 Marble Ln, Carpentersville, IL 60110-2494 | 2020-10-04 |
1508463563 | Graham Hospital Association | Clinic/Center | 120 E Gale St, Williamsfield, IL 61489-5418 | 2020-10-02 |
1336755941 | Sacred Heart Clinic of Lasalle Inc. | Clinic/Center | 920 West St Ste 214, Peru, IL 61354-2769 | 2020-09-18 |
1316563000 | Milestones Behavioral Health Services | Clinic/Center | 939 Georgetowne Dr, O Fallon, IL 62269-3414 | 2020-06-18 |
1689299257 | Precision Immediate Care and Medical Center, LLC | Clinic/Center | 3520 W North Ave, Stone Park, IL 60165-1042 | 2020-06-10 |
1013536663 | Katrina Lake Md LLC | Clinic/Center | 18503 Bellamy Rd, Country Club Hills, IL 60478-5279 | 2020-04-14 |
1558995779 | Signature Medical Clinic LLC | Clinic/Center | 2020 Dean St Ste G, St Charles, IL 60174-1665 | 2020-02-26 |
1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
1104460922 | Infinite Care Home Physicians LLC | Clinic/Center | 6044 N Nassau Ave, Chicago, IL 60631-2649 | 2019-11-05 |
1962051607 | Wilkes Post Acute Care Inc | Clinic/Center | 400 W 76th St Ste 303, Chicago, IL 60620-1640 | 2019-09-05 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on EDGE MEDICAL SERVICES.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.