Andre Edwards, MD Valid NPI

Individual provider · Diagnostic Radiology Physician · New Lenox, IL

NPI

1427205418

Type

Individual (Type 1)

Primary specialty

Diagnostic Radiology Physician (Radiology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2085R0202X

License number

036.122992 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2008-08-21

Last updated

2019-05-01