Individual
MICHAEL J MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 N RUSH ST, STOCKTON, IL 61085-1010
(815) 947-3211
(815) 947-3236
Mailing address
421 W EXCHANGE ST, PO BOX 268, FREEPORT, IL 61032-0268
(815) 599-7950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036106757
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036106757
—
IL
Enumeration date
02/08/2006
Last updated
10/17/2022
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