Individual
MADISON CAROL MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15300 WEST AVE STE 100, ORLAND PARK, IL 60462-4600
(708) 923-4400
(708) 590-6605
Mailing address
15300 WEST AVE STE 100, ORLAND PARK, IL 60462-4600
(708) 923-4400
(708) 590-6605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.011066
IL
Other
Enumeration date
11/20/2024
Last updated
12/19/2025
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