Individual
MR. ALEXANDER ALLAN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
431 REMINGTON BLVD, BOLINGBROOK, IL 60440-4918
(872) 231-3162
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.009553
IL
363A00000X
Physician Assistant
Primary
732923
WI
Other
Enumeration date
04/11/2023
Last updated
10/07/2025
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