Individual
MADELINE BICKHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1601 W JACKSON ST STE 104, MACOMB, IL 61455-1901
(309) 575-3222
(309) 276-0615
Mailing address
1601 W JACKSON ST STE 104, MACOMB, IL 61455-1901
(309) 575-3222
(309) 276-0615
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209027545
IL
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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