Emilia, Edgardo S

Emilia, Edgardo S is an sole proprietor health care provider with primary practice located at 1009 S 42Nd St Suite 1, Mount Vernon IL 62864-6218. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Emilia, Edgardo S can be contacted via phone (618) 241-6015.

Contact Information

Primary practice address
1009 S 42Nd St Suite 1 Mount Vernon IL 62864-6218
Phone: (618) 241-6015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-095710 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036095710 Illinois

Profile Details

NPI number 1710950217
LBN Legal business name Emilia, Edgardo S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2006
Last updated Jul 14th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710950217 NPPES
Illinois MEDICAID 036095710

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