Maceo Edmonds

NPI 1225952575 · on the registry since 2026

Practice

Address: 4137 Sauk Trl Ste 148
Richton Park, IL 60471
Phone: (312) 600-3612
Fax: (312) 847-8405
Organisation at this address: Pearls Of Hope Llc
No I In Famlee Llc
Tighty Recovery Inc
Soul Werk Cafe Pllc
Wei Transportation Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-12

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