Individual
KIAH L EDMONDSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 N ADDISON AVE, ELMHURST, IL 60126-2809
(847) 380-1339
Mailing address
121 N ADDISON AVE, ELMHURST, IL 60126-2809
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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