person
Maxwell Ethan Edmonds
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1306238142

Maxwell Ethan Edmonds is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Maxwell Ethan Edmonds practices in Chicago, IL. The NPI Number for Maxwell Ethan Edmonds is 1306238142 and holds a License No. (Illinois).

The current practice location address for Maxwell Ethan Edmonds is 3324 N Clifton Ave Apt 2F, Chicago, IL and can be reached out via phone at 401-480-1194.

Location: 3324 N Clifton Ave Apt 2F, Chicago, IL, 60657-2285
person
Provider Profile Details
NPI Number
1306238142
Provider Name
Maxwell Ethan Edmonds
Credential
Provider Entity Type
Individual
Gender
Male
Address
3324 N Clifton Ave Apt 2F, Chicago, IL, 60657-2285
Phone Number
401-480-1194
Fax Number
Provider Enumeration Date
03/03/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3324 N Clifton Ave Apt 2F
City
State
Zip
60657-2285
Phone Number
401-480-1194
Fax Number
person
Provider Business Mailing Address Details
Address
3324 N Clifton Ave Apt 2F
City
State
Zip
60657-2285
Phone Number
401-480-1194
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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