Individual
NICOLE MADETKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-7822
Mailing address
11015 191ST ST, MOKENA, IL 60448-8201
(630) 800-7316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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