Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maxwell Ethan Edmonds

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306238142

Maxwell Ethan Edmonds is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Chicago, IL

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)

Record details

NPI number1306238142
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 3, 2015
Last updated in NPPESJune 5, 2022
Certification dateJune 5, 2022

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