Individual
ANDRE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 SILVER CROSS BLVD, NEW LENOX, IL 60451-9509
(815) 300-7303
Mailing address
1900 SILVER CROSS BLVD, NEW LENOX, IL 60451-9509
(815) 300-7303
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
036122992
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036.122992
IL
Other
Enumeration date
08/21/2008
Last updated
05/01/2019
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