# HEALING EDGE MEDICAL GROUP IL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healing Edge Medical Group -IL, LTD.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033959127
- **Authorized official:** JEFFREY HALPERIN (COO)
- **Authorized official phone:** (626) 673-5605

## Contact information

- **Practice address:** 1200 N ASHLAND AVE STE 500, CHICAGO, IL 60622-8327
- **Practice address phone:** (310) 779-3224
- **Mailing address:** 100 E HUNTINGTON DR STE 203, ALHAMBRA, CA 91801-1022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2024
- **Last updated:** 08/26/2024