Madlock & Associates | |
10336 S Western Ave Ste 1 Chicago IL 60643-2407 | |
(773) 369-6545 | |
Not Available |
Full Name | Madlock & Associates |
---|---|
Speciality | Community/behavioral Health |
Location | 10336 S Western Ave Ste 1, Chicago, Illinois |
Authorized Official Name and Position | Felicia Madlock (CEO) |
Authorized Official Contact | 7733696545 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Madlock & Associates 430 E 162nd St # 109 South Holland IL 60473-2258 Ph: (773) 369-6545 | Madlock & Associates 10336 S Western Ave Ste 1 Chicago IL 60643-2407 Ph: (773) 369-6545 |
NPI Number | 1093372484 |
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Provider Enumeration Date | 05/21/2019 |
Last Update Date | 05/22/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093372484 | NPI | - | NPPES |
1093372484 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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