Organization · Type 2 NPI

Healing Edge Medical Group Il

Surgical Physician Assistant · Chicago, IL

NPI number 1033959127 Active

Practice location

1200 N Ashland Ave Ste 500
Chicago, IL 60622-8327

Call (310) 779-3224 Map

Mailing address

100 E Huntington Dr Ste 203
Alhambra, CA 91801-1022

Specialties and licenses

Taxonomy	Code	License
Foot & Ankle Surgery Podiatrist	213ES0103X	None listed
Surgical Physician Assistant Primary	363AS0400X	None listed

Surgical Physician Assistant: Definition to come...

8 other providers at this address

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NPI record

NPI: 1033959127
Entity type: Organization (Type 2)
Issued: May 28, 2024
Last updated: Aug 26, 2024
Status: Active

Other names

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Healing Edge Medical Group -Il, Ltd. · former legal business name
Healing Edge Medical Group -Il, Ltd. · former legal business name

Authorized official

Jeffrey Halperin
COO
(626) 673-5605

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033959127

Healing Edge Medical Group Il's National Provider Identifier is 1033959127, issued on May 28, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chicago, IL. The record was last updated on Aug 26, 2024.