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Individual

EDWARD GENE UNRUH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AGNP-C

Contact information

Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(855) 702-8222
Mailing address
5313 N KENMORE AVE APT 3B, CHICAGO, IL 60640-2583
(847) 404-5273

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209023162
IL
363LP2300X
Primary Care Nurse Practitioner
28294630A
IN

Other

Enumeration date
07/28/2021
Last updated
07/16/2025
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