Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Illinois Supreme Health Organization

Organization Community/Behavioral Health Agency · NPI 1194228429

Illinois Supreme Health Organization is a Community/Behavioral Health Agency in Crestwood, Illinois. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

5305 Pleasant Ln
Crestwood, IL 60418-1159
Phone: (312) 841-5006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1194228429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manjhoni Edmondson — President · (312) 841-5006
Other names Isho
NPI enumeratedMarch 13, 2018
Last updated in NPPESMarch 13, 2018
Mailing address5305 Pleasant Ln, Crestwood, IL 60418-1159

Other providers in Crestwood