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Individual

EDWARD TEAMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
619 E MASON ST, SUITE 4P57, SPRINGFIELD, IL 62701-1034
(217) 788-0706
(217) 525-2535
Mailing address
619 E MASON ST STE 4P57, SPRINGFIELD, IL 62701-1034
(217) 788-0706
(217) 525-2535

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
085.002019
IL
363A00000X
Physician Assistant
Primary
085002019
IL
363AM0700X
Medical Physician Assistant
085-002019
IL

Other

Enumeration date
10/24/2006
Last updated
01/22/2025
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