Individual
DR. PAUL FREDERIC EDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16622 159TH ST, STE 1A, LOCKPORT, IL 60441
(815) 588-3889
Mailing address
16622 159TH ST, STE 1A, LOCKPORT, IL 60441
(815) 588-3889
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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