Tony A Edeh

Driver • Bolingbrook, IL

Active NPI 1033630496 Individual Practitioner Male Practitioner

Practice location in NPPES

7 Boulder Ridge Ct
Bolingbrook, IL 604905534

Call 6303004202 Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Tony Edeh is listed in NPPES under Driver.
NPI assigned on July 6, 2017; this date does not establish years in practice.
No Medicare Part B / Part D records for this NPI in the CMS files shown here. CMS covers only Medicare fee-for-service / Part D claims and omits records with fewer than 11 beneficiaries, so this does not show whether the provider accepts Medicare or prescribes.

Practice Location & Contact Primary Location

Practice Address

7 Boulder Ridge Ct

Bolingbrook, IL 604905534

Telephone 6303004202

Fax 6307598636

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Driver: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bolingbrook and Illinois

2 active clinicians are listed under Driver with a practice address in Bolingbrook, IL (287 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Driver

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Driver

✅

NPI Profile Active July 06, 2017

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) July 06, 2017

Registered at 7 BOULDER RIDGE CT, BOLINGBROOK, IL 604905534 (Tel: (630) 300-4202)

📍

Business Mailing Address (Initial Record) July 06, 2017

Registered at 7 BOULDER RIDGE CT, BOLINGBROOK, IL 604905534 (Tel: 6303004202)

👤

Provider Name / Credentials (Initial Record) July 06, 2017

Recorded as TONY EDEH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2017

Driver

🟢

Initial NPI Registration & Enumeration July 06, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033630496

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 06, 2017

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7 Boulder Ridge Ct

Bolingbrook, IL 604905534

Phone: 6303004202

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.