Individual
CHERYL L EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 S 42ND ST, SUITE B, MOUNT VERNON, IL 62864-6216
(618) 244-5053
(618) 244-1355
Mailing address
1100 S 42ND ST, SUITE B, MOUNT VERNON, IL 62864-6216
(618) 244-5053
(618) 244-1355
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036101232
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4132016
BCBS OF IL
IL
Enumeration date
07/21/2006
Last updated
07/08/2007
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