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EDWIN W. MCCAMMACK PA
NPI 1790792562
Physician Assistant - Medical in Champaign, IL

Active since August 02, 2006
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820(217) 366-1243(217) 366-6106 Get Directions Write a Review

NPPES record last updated: March 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edwin W. Mccammack Pa NPPES

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

EDWIN W. MCCAMMACK PA (NPI 1790792562) is an individual medical provider in Champaign, Illinois, licensed in Illinois (085-000055) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1790792562
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameEDWIN W. MCCAMMACKCredential: PA
Location Address101 W UNIVERSITY AVEChampaign, IL 61820-3909
Mailing Address101 W University AveChampaign, IL 61820-3909 · (217) 366-8107 · Fax (217) 366-6106
Phone(217) 366-1243
Fax(217) 366-6106
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateMarch 5, 2015
✔ NPI 1790792562 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
License✔ Licensed in IL · 085-000055
101 W UNIVERSITY AVE, Champaign, IL 61820
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Other Identifiers 5

OtherP00328875Railroad Medicare
Medicare NSC0407950001IL
Medicare PINL72226
Other434110Medicare Group
Medicare UPINS86214

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.

ELLEN FLORA
Physician Assistant
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
Champaign County (217) 366-1248
JASMINE A EVANS PT, DPT
Physical Therapist
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
Champaign County (217) 366-1323
MRS. SARAH SHOEMAKER CNM
Advanced Practice Midwife
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
Champaign County (217) 366-1255
PATRICIA FAIRCHILD OT
Occupational Therapist
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
Champaign County (217) 366-1323
MR. RICHARD JEAN A.T.C.
Specialist/Technologist (Athletic Trainer)
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
Champaign County (217) 366-1327
MS. CATHY HINTON C.N.M.
Advanced Practice Midwife
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
Champaign County (217) 366-1255
WHITNEY KAUFFMAN PA
Physician Assistant (Medical)
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
Champaign County (217) 366-8107
DR. SALIM G. KHAZOUM MD
Pathology (Anatomic Pathology & Clinical Pathology)
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820
Champaign County (217) 337-2310

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 Edwin Mccammack's NPI number?

The NPI number for Edwin Mccammack is 1790792562. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Edwin Mccammack located?

Edwin Mccammack practices at 101 W University Ave, Champaign, IL 61820. The listed phone number is (217) 366-1243.

What is Edwin Mccammack'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 Edwin Mccammack was last updated on March 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.