Individual
MICHAEL EDGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2687 SHOWPLACE DR UNIT 204, NAPERVILLE, IL 60564-3346
(416) 627-8082
Mailing address
1200 W HARRISON ST, CHICAGO, IL 60607-3320
(312) 996-7000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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