Healthcare Provider Details

I. General information

NPI: 1841154101
Provider Name (Legal Business Name): EDLUCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 W CHERRY ST
HERRIN IL
62948-1737
US

IV. Provider business mailing address

106 W CHERRY ST
HERRIN IL
62948-1737
US

V. Phone/Fax

Practice location:
  • Phone: 618-842-2531
  • Fax: 618-842-4036
Mailing address:
  • Phone: 618-842-2531
  • Fax: 618-842-4036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LUCY A POTTS
Title or Position: OWNER
Credential:
Phone: 618-841-1687