Edgar E Archbold in Berwyn - Family Medicine

Edgar E Archbold - NPI 1801003991

Edgar E Archbold is a Family Medicine in Berwyn, Illinois. Edgar E Archbold practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Edgar E Archbold is 1801003991. The last update date is 2008-12-22.

Edgar E Archbold's current location address is 6917 W Cermak Rd, Berwyn, Illinois. You can contact this provider via phone number 7087498190 and fax number 7087498190. The mailing address for Edgar E Archbold is 6917 W Cermak Rd, Berwyn, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Edgar E Archbold
Address 6917 W Cermak Rd, Berwyn, Illinois
Phone Number 7087498190
Fax Number 7087498190
Sole Proprietor N
Credentials M.D

NPI Number Detail

NPI Number 1801003991
Provider Enumeration Date 2007-05-17
Last Updated Date 2008-12-22

Provider Mailing Address Detail

Address 6917 W Cermak Rd
City Berwyn
State Illinois (IL)
Post Code 60402
Phone Number 7087498190
Fax Number 7087498190

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36069407
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1625394 IL BS
36068407 IL --

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FAQs about Edgar E Archbold

What is the unique 10-digit identification code issued to Edgar E Archbold by the Centers for Medicare & Medicaid Services?

The Edgar E Archbold has been assigned the NPI (National Provider Identifier) 1801003991 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Edgar E Archbold located?

The Edgar E Archbold is located at 6917 W Cermak Rd, Berwyn, IL 60402.

What is Edgar E Archbold's area of expertise and its corresponding taxonomy classification?

The Edgar E Archbold's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

When did Edgar E Archbold receive its 1801003991 assignment?

The Edgar E Archbold was assigned its 1801003991 on 2007-05-17, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Edgar E Archbold most recently updated or revised?

The information pertaining to Edgar E Archbold, including its address, specialty, and other relevant details, was last updated or revised on 2008-12-22.

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