Search › Illinois › 101YM0800X
Manjhoni Edmondson
NPI 1720581143 · on the registry since 2018
Practice
- Address
- 5305 Pleasant Ln
Crestwood, IL 60418 - Phone
- (312) 841-5006
- Organisation at this address
- Illinois Supreme Health Organization
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois