EDWAED WELDON FOWLER PAC
NPI 1508987355
Physician Assistant - Medical in Chicago, IL

Active since April 02, 2007
1901 W HARRISON ST, CHICAGO, IL 60612(773) 869-7488 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edwaed Weldon Fowler Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWAED WELDON FOWLER PAC (NPI 1508987355) is an individual medical provider in Chicago, Illinois and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1508987355
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameEDWAED WELDON FOWLERCredential: PAC
Location Address1901 W HARRISON STChicago, IL 60612-3714
Mailing Address1122 Newberry AveLa Grange Park, IL 60526-1249 · (708) 415-0035
Sole ProprietorYes
Enumeration DateApril 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1508987355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1901 W HARRISON ST, Chicago, IL 60612

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Obstetrics & Gynecology (Gynecology)
1901 W HARRISON ST
CHICAG, IL 60612
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Pharmacy (Clinic Pharmacy)
1901 W HARRISON ST
CHICAGO, IL 60612
Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Physician Assistant
1901 W HARRISON ST
CHICAGO, IL 60612
General Acute Care Hospital
1901 W HARRISON ST
CHICAGO, IL 60612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwaed Fowler's NPI number?

The NPI number for Edwaed Fowler is 1508987355. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Edwaed Fowler located?

Edwaed Fowler practices at 1901 W Harrison St, Chicago, IL 60612. The listed phone number is (773) 869-7488.

What is Edwaed Fowler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Edwaed Fowler was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.