Illinois Supreme Health Organization
NPI #1194228429 in Crestwood, Illinois
Provider Information
- NPI Number
- 1194228429
- Entity Type
- Organization
- Organization Name
- Illinois Supreme Health Organization
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 13, 2018
- Last Updated
- Mar 13, 2018
Practice Location
Authorized Official
- Name
- MANJHONI EDMONDSON
- Title
- PRESIDENT
- Phone
- (312) 841-5006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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