Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edward Nicholas Northrup, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134681406

Edward Nicholas Northrup, MD is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2320 E 93rd St
Chicago, IL 60617-3909
Phone: (773) 967-5436
Fax: (773) 967-4205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4440 W 95th St, Oak Lawn, IL 60453-2600 — (708) 684-8000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 1134681406 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134681406
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2019
Last updated in NPPESOctober 6, 2022
Certification dateJuly 12, 2022

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