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NPI Code Detail

MEDICARE: ZOE EDMONDS

MEDICARE: ZOE EDMONDS
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
1163W00000XRegistered Nurse041.527833IL

General Provider Information

NPI Number : 1649086059
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZOE EDMONDS
Provider Business Mailing Address
First Line : 4046 N PONTIAC AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-1039
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1653 W CONGRESS PKWY
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3833
Country : US
Telephone Number : 312-947-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2024
Last Update Date : 12/10/2024

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Directions to “ ZOE EDMONDS ” Practice Location

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