Edmund Thomas Peacock, MD - Student in an Organized Health Care Education/Training Program in Chicago, IL

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Edmund Thomas Peacock, MD is a Student In An Organized Health Care Education/training Program physician based in Chicago, Illinois. Edmund Thomas Peacock is licensed to practice in Illinois (license number 125.086315) and his current practice location is 1750 W Harrison St Ste 108, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at (312) 942-7802.

NPI number for Edmund Thomas Peacock is 1356239776 and his current mailing address is 1750 W Harrison St Ste 108, Chicago, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356239776.

Contact Information

Edmund Thomas Peacock, MD
1750 W Harrison St Ste 108,
Chicago, IL 60612-3825
(312) 942-7802
Not Available

Map and Direction




Physician's Profile

Full NameEdmund Thomas Peacock
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location1750 W Harrison St Ste 108, Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356239776
  • Provider Enumeration Date: 06/25/2025
  • Last Update Date: 08/05/2025

Medical Identifiers

Medical identifiers for Edmund Thomas Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356239776NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 125.086315 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program 125.086315 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edmund Thomas Peacock is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edmund Thomas Peacock, MD
1750 W Harrison St Ste 108,
Chicago, IL 60612-3825

Ph: () -		Edmund Thomas Peacock, MD
1750 W Harrison St Ste 108,
Chicago, IL 60612-3825

Ph: (312) 942-7802

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.