Individual
DR. JOHN D EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
880 W CENTRAL RD, SUITE 5000, ARLINGTON HEIGHTS, IL 60005-2355
(847) 618-3800
(847) 618-3809
Mailing address
880 W CENTRAL RD STE 5000, ARLINGTON HEIGHTS, IL 60005-2355
(847) 618-3800
(847) 618-3809
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
0101249785
VA
2086S0129X
Vascular Surgery Physician
Primary
036139185
IL
2086S0129X
Vascular Surgery Physician
35-072723
OH
2086S0129X
Vascular Surgery Physician
38823
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000609662
ANTHEM - NVA
KY
01
—
000023035Y
HUMANA - CTS (NVA)
KY
01
—
00533123
MEDICARE KY - CTS (NVA)
KY
01
—
103475
SIHO - NVA
KY
05
—
200164020
—
IN
05
—
2040375
—
OH
01
—
3709852000
PASSPORT ADVTG - NVA
KY
01
—
50011792
PASSPORT - NVA
KY
01
—
6286669
CIGNA - NVA
KY
05
—
64960628
—
KY
01
—
P00201740
RR MEDICARE
OH
01
—
P00733104
RR MCR-KY (NVA)
KY
Enumeration date
05/13/2006
Last updated
04/28/2021
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