Individual
MELISSA R EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 W LAKE ST, ADDISON, IL 60101-2586
(630) 527-3645
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009890
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100077662
—
WI
Enumeration date
05/02/2018
Last updated
11/21/2025
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