Jonathan Edwards

NPI 1164820312 · on the registry since 2014

Practice

Address: 1405 E 12th St
Suite 600
Mendota, IL 61342
Phone: (815) 538-7200
Fax: (815) 539-1444
Organisation at this address: Associated Physicians, Sc
Mendota Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-12-19

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