Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edwaed Weldon Fowler, PAC

Individual provider Medical Physician Assistant · NPI 1508987355

Edwaed Weldon Fowler, PAC is a Medical Physician Assistant in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1901 W Harrison St
Chicago, IL 60612-3714
Phone: (773) 869-7488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (IL)

Record details

NPI number1508987355
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorYes
NPI enumeratedApril 2, 2007
Last updated in NPPESJuly 8, 2007

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