Individual
MAE ISABELLE MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 E SUPERIOR ST STE 306, CHICAGO, IL 60611-2595
(312) 754-9404
(312) 754-9402
Mailing address
8927 NATIONAL AVE, MORTON GROVE, IL 60053-2028
(773) 294-5738
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
06/08/2026
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