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EDGAR E ARCHBOLD M.D
NPI 1801003991
Family Medicine in Berwyn, IL

Active since May 17, 2007
6917 W CERMAK RD, BERWYN, IL 60408(708) 749-8190(708) 749-8190 Get Directions Write a Review

NPPES record last updated: December 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgar E Archbold M.d NPPES

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

EDGAR E ARCHBOLD M.D (NPI 1801003991) is an individual family medicine provider in Berwyn, Illinois, licensed in Illinois (036-069407) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1801003991
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDGAR E ARCHBOLDCredential: M.D
Location Address6917 W CERMAK RDBerwyn, IL 60408
Mailing Address6917 W Cermak RdBerwyn, IL 60402 · (708) 749-8190 · Fax (708) 749-8190
Phone(708) 749-8190
Fax(708) 749-8190
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateDecember 22, 2008
✔ NPI 1801003991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036-069407✔ Licensed in IL · 036069407
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6917 W CERMAK RD, Berwyn, IL 60408
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Other Identifiers 5

Medicare ID-Type Unspecified727980IL
Medicaid036068407IL
Other01625394IL · Bs
Medicare UPINC46088
Medicare PIN216410IL

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 Edgar Archbold's NPI number?

The NPI number for Edgar Archbold is 1801003991. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Edgar Archbold located?

Edgar Archbold practices at 6917 W Cermak Rd, Berwyn, IL 60408. The listed phone number is (708) 749-8190.

What is Edgar Archbold's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Edgar Archbold was last updated on December 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.