Individual
PAMELA MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2224 WHARF DR APT 1503, WOODRIDGE, IL 60517-5354
(630) 689-6224
Mailing address
2224 WHARF DR APT 1503, WOODRIDGE, IL 60517-5354
(630) 689-6224
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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