Maxwell Ethan Edmonds is a student in an organized health care education training program in Chicago, IL. The provider is 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. Maxwell Ethan Edmonds NPI is 1306238142. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3324 N CLIFTON AVE APT 2F
CHICAGO, IL
ZIP 60657-285
Phone: (401) 480-1194
The NPI 1306238142 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/3/2015 and was last updated on 6/5/2022.