Individual
ELIZABETH ANNE MADLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1304 FRANKLIN AVE, NORMAL, IL 61761-3558
(309) 454-1400
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3311
(217) 902-7711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
277003023
IL
363LF0000X
Family Nurse Practitioner
Primary
277003023
IL
Other
Enumeration date
08/28/2013
Last updated
08/15/2025
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