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Individual
EDWIN W. MCCAMMACK
Active
Individual
EDWIN W. MCCAMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-000055
IL
Other
Enumeration date
08/02/2006
Last updated
03/05/2015
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