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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, P.C.

NPI # 1295914646
LBN Legal business name EDGEWOOD CLINICAL SERVICES, P.C.
Authorized official RYAN PARDO - (CHIEF LEGAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2007
Last updated 03/06/2024 - About 2 years ago
Identifiers
IL License # 149-010253
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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