SearchIllinois183500000X

Dalavia Edmon

NPI 1184976623 · on the registry since 2012

Practice

Address
9501 S King Dr
Chicago, IL 60628
Phone
(773) 995-4502
Clinicians at this address
7

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-05-17

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