Doctor Name: | PROF. EDWARD HARRIS AXELROD |
NPI Number: | 1508261017 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 036039195 |
Business Practice Address: | 4225 W. 95th Street Oak Lawn, IL - 60453 |
Business Phone Number: | 7084232300 |
Business Fax Number: | |
Mailing Address: | 1122 N. Dearborn, 28 CHICAGO |
State: | IL |
Postal Code: | 60610 |
Phone Number: | 3123108970 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2014 |
NPI Last Update Date: | 10/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 036039195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |