Individual
PROF. EDWARD HARRIS AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4225 W. 95TH STREET, OAK LAWN, IL 60453
(708) 423-2300
Mailing address
1122 N. DEARBORN, 28, CHICAGO, IL 60610
(312) 310-8970
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036039195
IL
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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