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Contact Information

EDGEWOOD CLINICAL SERVICES, P.C.
2948 ARTESIAN RD STE 112
NAPERVILLE, IL60564-8559
 Phone: 630-428-7890
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for EDGEWOOD CLINICAL SERVICES PC · (Female)

NPI # 1295914646
Status Active
Credentials
Entity Individual
Enumeration date 11/01/2007
Last updated 03/06/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 149-010253
Hospital affiliation(s) Not Available
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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