Organization
MADLOCK & ASSOCIATES
Active
Other names
Madlock & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA MADLOCK LCSW (CEO)
(773) 369-6545
Entity
Organization
Contact information
Practice address
10336 S WESTERN AVE STE 1, CHICAGO, IL 60643-2407
(773) 369-6545
Mailing address
430 E 162ND ST # 109, SOUTH HOLLAND, IL 60473-2258
(773) 369-6545
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093372484
—
IL
Enumeration date
05/21/2019
Last updated
05/22/2019
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