# DR. MADOO & ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508146838
- **Authorized official:** DR. OMADATH B MADOO (OWNER)
- **Authorized official phone:** (312) 636-6434

## Contact information

- **Practice address:** 3017 N ASHLAND AVE, CHICAGO, IL 60657-3142
- **Practice address phone:** (773) 935-1199
- **Practice address fax:** (773) 935-1219
- **Mailing address:** 4250 N MARINE DR, SUITE 236, CHICAGO, IL 60613-1744
- **Mailing address phone:** (773) 404-0160
- **Mailing address fax:** (773) 404-9876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036059405 | IL | Yes |

## Other

- **Enumeration date:** 08/18/2011
- **Last updated:** 08/18/2011