| NPI | 1932745825 |
|---|---|
| Doing Business As | EDGEWATER MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DON DANIELS VP 815-966-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |