Donovan Edward
Donovan Edward is a Student in an Organized Health Care Education/Training Program in Hines, Illinois. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
5000 S 5th AveHines, IL 60141-3030
Phone: (708) 202-8387
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
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Record details
| NPI number | 1609662774 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 16, 2025 |
| Last updated in NPPES | April 16, 2025 |
| Certification date | April 16, 2025 |
| Mailing address | 5000 S 5th Ave, Hines, IL 60141-3030 |
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Elizabeth Paige Lassen, DO
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Hugh Seller
5000 S 5th Ave Bldg 228, Hines, IL 60141-3030 · (708) 202-7991