Organization
LAVOLL AND EDGER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EDGER MD (OWNER)
(312) 209-1123
Entity
Organization
Contact information
Practice address
3122 N SHERIDAN RD APT B2, CHICAGO, IL 60657-4936
(312) 209-1123
(312) 988-9215
Mailing address
3122 N SHERIDAN RD APT B2, CHICAGO, IL 60657-4936
(312) 209-1123
(312) 988-9215
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
036069216
IL
Other
Enumeration date
10/05/2006
Last updated
07/21/2022
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