Individual
REBECCA KILLIAN EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 S PARK AVE, HERRIN, IL 62948-4112
(618) 988-6000
(618) 942-7111
Mailing address
905 S PARK AVE, HERRIN, IL 62948-4112
(618) 988-6000
(618) 942-7111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004711
IL
Other
Enumeration date
07/12/2013
Last updated
11/02/2021
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