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1790792562
EDWIN W. MCCAMMACK
CHAMPAIGN, IL
NPI
1790792562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085-000055)
Enumeration Date
2006-08-02
Last Update Date
2015-03-05
Business Address
-- EDWIN W. MCCAMMACK PA
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-1243
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Mailing Address
-- EDWIN W. MCCAMMACK PA
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-8107
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