Edward SE, PA-S
Edward SE, PA-S is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
240 E Huron St Ste 1-200Chicago, IL 60611-2909
Phone: (312) 503-1851
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1760310684 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-S |
| Sole proprietor | No |
| NPI enumerated | May 11, 2026 |
| Last updated in NPPES | May 11, 2026 |
| Certification date | May 11, 2026 |
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