Individual
DR. EDWARD CHARLES QIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
300 W OAK ST, CARBONDALE, IL 62901-1400
(618) 536-6621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-160596
IL
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
036-160596
IL
Other
Enumeration date
06/14/2018
Last updated
08/29/2022
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