DAVID ALAN EDWARDS


Address: 5000 S 5ht Ave, Building 113, Hines, IL 60141
Phone: 7082028387

DAVID ALAN EDWARDS (NPI# 1639684640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639684640
Entity Type Individual
Full Name DAVID ALAN EDWARDS
Credential MA, CVRT
Practice Address 5000 S 5ht Ave
Building 113
Hines
IL 60141
Mailing Address 3134 Cleveland St
Hammond
IN 46323-1152
Practice Telephone 7082028387
Enumeration Date 2017-12-13
Last Update Date 2017-12-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255R0406X Specialist/Technologist
Specialization: Rehabilitation, Blind
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

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Office Location

Street Address 5000 S 5HT AVE
BUILDING 113
City HINES
State IL
Zip Code 60141

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992273056 Donizetti Razo Social Worker 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 2018-11-07
1558838086 Michael Calia Social Worker Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 2018-11-02
1689189706 Joseph Jorgenson Rehabilitation Practitioner Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 2017-12-12
1154836823 Kristy Bassett Social Worker 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 2017-12-04
1396269387 Aaron Jerome Brown Kinesiotherapist 5000 S 5th. Ave., Hines, IL 60141 2017-08-01
1932454634 Michael Ladra Marquez Physical Therapist 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 2012-07-18
1437489713 Linda Christime Bronski Social Worker Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 2010-01-08
1700113859 Sarah Jean Ostrowski Recreation Therapist 2100 S 5th Ave, Hines, IL 60141 2009-11-11
1841447299 Narayanarao Madamala Pharmacist Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 2008-08-27
1750547394 Richard W. Spadlowski Registered Nurse 2100 S. 5th Avenue, Edward Hines Jr. Hospital, Hines, IL 60141 2008-08-04
Find all providers in zip 60141

Taxonomy Information

Taxonomy Code 2255R0406X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Rehabilitation, Blind

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881819589 Jack Forrest Houston Specialist/Technologist 5th Avenue & Roosevelt Road Building 113, Hines, IL 60141 2007-04-16
1356467948 Geo Athappilly Specialist/Technologist 5th St and Roosevelt, Bldg 113, Hines, IL 60141 2007-03-22
1336220763 Ernest Staines Specialist/Technologist 5 Th Avenue & Roosevelt Road, Building 113, Hines Veterans Hospital, Hines, IL 60141 2006-10-19
1962502039 Kathryn A Helbing-smith Specialist/Technologist 5th & Roosevelt, Bldg 113, Blind Rehabilitation Center, Hines Va Hospital, Hines, IL 60141-5000 2006-09-25
1407955289 Jennifer Molodecki Specialist/Technologist 5th and Roosevelt Rd, Building 113, Hines Va Hospital, Hines, IL 60141 2006-09-21
1154428571 Samuel Janusauskas Specialist/Technologist Bldg 113, Hines Va Hospital, Hines, IL 60141 2006-09-20
1386741734 Susan Ellen Soderquist Knauff Specialist/Technologist Building 113, 5th Ave. and Roosevelt Rd., Hines, IL 60141 2006-09-20
1801992169 Deborah Lynn Zufan Specialist/Technologist 5th & Roosevelt Road, Hines, IL 60141-5000 2006-09-15
1457456766 Sudhakar Pisipati Specialist/Technologist 5th & Roosvelt Road, Hines, IL 60141-5000 2006-09-13
1982610390 Barbara Jean Hunt Specialist/Technologist Roosevelt and Fifth Avenue, Hines, IL 60141 2006-07-31
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City HINES
Zip Code 60141

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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