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Individual

PAUL EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
1440 RENAISSANCE DR STE 320, PARK RIDGE, IL 60068-1471
(847) 759-9110
Mailing address
1440 RENAISSANCE DR STE 320, PARK RIDGE, IL 60068-1471
(847) 759-9110

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
209.014442
IL

Other

Enumeration date
09/01/2016
Last updated
03/02/2023
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