Individual
EDWIN ESPINOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1124 W STEARNS RD, BARTLETT, IL 60103
(630) 213-7788
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036102812
IL
208000000X
Pediatrics Physician
036102812
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102812
—
IL
01
—
110225356
RR MEDICARE
IL
Enumeration date
02/22/2006
Last updated
04/16/2021
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