Individual
EDWARD M ATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 HOWARD ST, EVANSTON, IL 60202-3916
(847) 869-8500
(847) 869-0028
Mailing address
8135 N MILWAUKEE AVE, NILES, IL 60714-2828
(847) 967-8098
(847) 967-8594
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31600926
BLUE SHIELD OF ILLINOIS
IL
Enumeration date
07/14/2005
Last updated
10/04/2007
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