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

Mr. Jomon M Edakara

Individual provider Physical Therapist · NPI 1609094630

Mr. Jomon M Edakara is a Physical Therapist in Deerfield, Illinois. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007

Practice location Address checks out

1551 Lake Cook Rd
Deerfield, IL 60015-5651
Phone: (847) 374-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05008369A (IN)

Record details

NPI number1609094630
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2007
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address1313 Hallberg Ln, Parkridge, IL 60068

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