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Individual

DR. EDWARD PICKERING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1520 W HARRISON ST FL 6, CHICAGO, IL 60607-3106
(312) 942-6744
Mailing address
1520 W HARRISON ST FL 6, CHICAGO, IL 60607-3106
(312) 942-6744

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036163867
IL
207RP1001X
Pulmonary Disease Physician
D71265
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038590500
MD
Enumeration date
01/09/2008
Last updated
03/12/2024
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