Individual
MACEO EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4137 SAUK TRL STE 148, RICHTON PARK, IL 60471-1253
(312) 600-3612
(312) 847-8405
Mailing address
4137 SAUK TRL STE 148, RICHTON PARK, IL 60471-1253
(630) 806-5450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
150.114115
IL
104100000X
Social Worker
Primary
150.114115
IL
Other
Enumeration date
08/08/2026
Last updated
08/12/2026
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