MEDICARE: JOEL B EDELSTEIN D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	1705	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110217771	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1705	OTHER	AZ	STATE LICENSE

General Provider Information

NPI Number	:	1114927506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL B EDELSTEIN D.O.

Provider Business Mailing Address
First Line	:	6400 SHAFER CT STE 700
Second Line	:
City	:	ROSEMONT
State	:	IL
Zip	:	60018-4989
Country	:	US
Telephone Number	:	346-376-1702
Fax Number	:	224-532-2780

Provider Business Practice Location Address
First Line	:	1144 E JEFFERSON ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85034-2224
Country	:	US
Telephone Number	:	480-606-1011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	07/01/2021

Similar Medicare Providers

1497001218 — SEASONS MEDICAL GROUP OF ARIZONA, PC
Practice Location Address:

1144 E JEFFERSON ST
PHOENIX, AZ
85034-2224

Practice Phone: 855-214-6583
Practice Fax: 480-606-1012

1720763592 — RESTORING HEALTH OUTPATIENT CLINIC, INC.
Practice Location Address:

1150 E JEFFERSON ST
PHOENIX, AZ
85034-2224

Practice Phone: 602-675-1429
Practice Fax:

1285611582 — DR. GLENN L ZELLMAN MD
Practice Location Address:

2224 W NORTHERN AVE STE D300
PHOENIX, AZ
85021

Practice Phone: 602-277-1449
Practice Fax: 602-277-9984

1790732832 — ARIZONA SKIN AND LASER THERAPY INSTITUTE, LLC
Practice Location Address:

2224 W NORTHERN AVE , SUITE D-300
PHOENIX, AZ
85021-4928

Practice Phone: 602-277-1449
Practice Fax: 602-277-9984

1710934823 — MISS KARLA M. HORTON P.A.
Practice Location Address:

2224 W NORTHERN AVE , D300
PHOENIX, AZ
85021-4928

Practice Phone: 602-277-1449
Practice Fax: 602-277-9984

1841230976 — MR. WILLIAM T. KO M.D.
Practice Location Address:

2224 W NORTHERN AVE STE D300
PHOENIX, AZ
85021

Practice Phone: 602-277-1449
Practice Fax: 602-277-9984

Directions to “ JOEL B EDELSTEIN D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.