Chandler, Fritz-Jose Edwards
Chandler, Fritz-Jose Edwards is an individual health care provider with primary practice located at 1425 N Randall Rd , Elgin IL 60123-2300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Chandler, Fritz-Jose Edwards can be contacted via phone (847) 742-9800.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 35.085509 | Ohio |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036-122017 | Illinois |
Profile Details
| NPI number | 1104817121 |
|---|---|
| LBN Legal business name | Chandler, Fritz-Jose Edwards |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Sep 8th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104817121 | NPPES |
| Indiana | Other | CB3509 | RAILROAD GROUP |
| Indiana | Other | P00715091 | RAILROAD GROUP |
| Indiana | MEDICAID | 200928260 | RAILROAD GROUP |
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