Tori Anne Edmiston
Family Doctor Family Doctor - Sports Medicine
1775 Ballard Rd
Park Ridge
, Illinois 60068-1005
Tori Anne Edmiston
Family Doctor Family Doctor - Sports Medicine
1775 Ballard Rd
Park Ridge
, Illinois 60068-1005
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Tori Anne Edmiston
- 1775 Ballard Rd
- Park Ridge, IL
- Zip : 60068-1005
- Phone :
Second Address
- Tori Anne Edmiston
- 1775 Ballard Rd
- Park Ridge, IL
- Zip : 60068-1005
- Phone : (847) 318-6020
Reviews
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Is Tori Anne Edmiston a sole practitioner?
Is Tori Anne Edmiston accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 4301115841 | MI |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 036.156295 | IL |
National Provider Identifier
| NPI | 1083107072 |
|---|---|
| Provider Name | Tori Anne Edmiston |
| First Address | Park Ridge, IL 60068-1005 |
| Second Address | Park Ridge, IL 60068-1005 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2018 |
| Last Update Date | 29/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.