Chaffin, Edith Merle

Chaffin, Edith Merle is an individual health care provider with primary practice located at 6307 S Stewart Ave Suite 204, Chicago IL 60621-3116. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Chaffin, Edith Merle can be contacted via phone (773) 487-3017.

Contact Information

Primary practice address
6307 S Stewart Ave Suite 204 Chicago IL 60621-3116
Phone: (773) 487-3017
Fax: (773) 487-3028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 036067419 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036067419 Illinois

Profile Details

NPI number 1306899216
LBN Legal business name Chaffin, Edith Merle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Aug 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306899216 NPPES
Illinois MEDICAID 036067419

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