Individual provider · Type 1 NPI

Edwin W. McCammack, PA

Medical Physician Assistant · Champaign, IL

NPI number 1790792562 Active

Practice location

101 W University Ave
Champaign, IL 61820-3909

Fax (217) 366-6106

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085-000055 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1790792562

Edwin W. McCammack, PA's National Provider Identifier is 1790792562, issued on Aug 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Champaign, IL. The record was last updated on Mar 5, 2015.