Individual
JOANNA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1366 E 1050TH AVE, OBLONG, IL 62449-2409
(618) 592-3119
(618) 546-2602
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.153889
IL
Other
Enumeration date
04/27/2017
Last updated
12/14/2022
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