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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EDWIN W. MCCAMMACK, PA

Active

EDWIN W. MCCAMMACK, PA is a Medical Physician Assistant healthcare provider located in CHAMPAIGN, Illinois. NPI 1790792562 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · CHAMPAIGN, IL

Registration Details

NPI Number
1790792562
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2006 (20.008879491662 yrs)
Last Updated
Mar 5, 2015
License
085-000055 (IL)

Practice Information

Address
101 W UNIVERSITY AVE
CHAMPAIGN, IL, 618203909
Browse IL providers · Browse ZIP 61820
Phone
2173661243
Fax
2173666106
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in CHAMPAIGN, IL

Name Credential NPI
CAROLE S MCNAMARA PA-C 1629041660
MS. GINA C. BIRD P.A. 1902813454
MR. WARREN LEE PA 1487661955
JANICE K JONES PA 1114106002
STEPHANIE PAINTER PA 1760611149
WHITNEY KAUFFMAN PA 1043593262
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.