Individual
JONATHAN EDGINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9900 COLUMBIA AVE, MUNSTER, IN 46321-4008
(219) 924-3300
(219) 922-5424
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01085798A
IN
207X00000X
Orthopaedic Surgery Physician
125066941
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001543024
ANTHEM
IN
05
—
300050201
—
IN
Enumeration date
06/02/2015
Last updated
10/03/2025
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