Illinois Supreme Health Organization
NPI 1194228429 · Community/Behavioral Health Agency · Crestwood, IL
Illinois Supreme Health Organization is a Community/Behavioral Health Agency organization in Crestwood, IL (NPI 1194228429).
Provider details
- NPI number
- 1194228429
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Manjhoni Edmondson, President(312) 841-5006
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Isho
Registry dates
- Enumerated
- 2018-03-13
- Last updated
- 2018-03-13
Frequently asked questions
- What is Illinois Supreme Health Organization's NPI number?
- Illinois Supreme Health Organization's National Provider Identifier (NPI) is 1194228429, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illinois Supreme Health Organization?
- Illinois Supreme Health Organization is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Illinois Supreme Health Organization located?
- Illinois Supreme Health Organization's practice location on file with NPPES is 5305 Pleasant Ln, Crestwood, IL 60418-1159.
- What is Illinois Supreme Health Organization's phone number?
- The practice phone number listed in the NPPES registry for Illinois Supreme Health Organization is (312) 841-5006.
- Who is the authorized official for Illinois Supreme Health Organization?
- The authorized official listed on Illinois Supreme Health Organization's NPPES record is Manjhoni Edmondson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illinois Supreme Health Organization's NPI active?
- Yes — Illinois Supreme Health Organization's NPI (1194228429) is active in the NPPES registry as of the last update on 2018-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.