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Organization
SHELDON L EDELSON MD SC
Active
Organization
SHELDON L EDELSON MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELDON EDELSON M.D. (PRESIDENT)
(773) 334-8633
Entity
Organization
Contact information
Practice address
4640 N MARINE DR, A6200, CHICAGO, IL 60640-5719
(773) 334-8633
(773) 334-8681
Mailing address
4640 N MARINE DR, A6200, CHICAGO, IL 60640-5719
(773) 334-8633
(773) 334-8681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021608860
BLUECROSS/BLUESHIELD
IL
Enumeration date
10/19/2006
Last updated
09/25/2007
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