| Dr Edwin L Card, MD | |
|
515 E Grant St, Suite 211, Macomb, IL 61455-3368 | |
| (309) 833-3706 | |
| Not Available |
| Full Name | Dr Edwin L Card |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 515 E Grant St, Macomb, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568468015 | NPI | - | NPPES |
| 036060998 | Other | IL | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036060998 (Illinois) | Primary |
| Entity Name | Mcdonough County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669420766 PECOS PAC ID: 0446140180 Enrollment ID: O20040611000228 |
| Entity Name | Mcdonough County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609180082 PECOS PAC ID: 0446140180 Enrollment ID: O20090407000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edwin L Card, MD 515 E Grant St, Suite 211, Macomb, IL 61455-3368 Ph: (309) 833-3706 | Dr Edwin L Card, MD 515 E Grant St, Suite 211, Macomb, IL 61455-3368 Ph: (309) 833-3706 |
Olivia M White, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 515 E Grant St Ste 211, Macomb, IL 61455 Phone: 309-833-3706 Fax: 309-836-1039 | |
Dr. James Joseph Gonzales, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 515 E Grant St, Ste 211, Macomb, IL 61455 Phone: 309-833-3706 |