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Contact Information

TERESA M EDWARDS, MD
2160 S 1ST AVE
MAYWOOD, IL60153-3328
 Phone: 708-216-1084
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for TERESA M EDWARDS · (Female)

NPI Number 1265768709
Status Active
Credentials MD
Entity Individual
Enumeration date 10/18/2009
Last updated 12/13/2016 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 125.056034
Hospital affiliation(s)
  • LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS - (Acute Care)
    355 GRAND STREET
    JERSEY CITY, NJ 07302
  • SAINT MICHAEL'S MEDICAL CENTER INC - (Acute Care)
    111 CENTRAL AVENUE
    NEWARK, NJ 07102
  • TRINITAS REGIONAL MEDICAL CENTER - (Acute Care)
    225 WILLIAMSON STREET
    ELIZABETH, NJ 07207
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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