Individual
DR. EDWIN L CARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 E GRANT ST, SUITE 211, MACOMB, IL 61455-3368
(309) 833-3706
Mailing address
515 E GRANT ST, SUITE 211, MACOMB, IL 61455-3368
(309) 833-3706
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036060998
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036060998
STATE LICENSE NUMBER
IL
Enumeration date
06/21/2005
Last updated
02/16/2015
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