Individual
STEPHANIE MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DACOM, L. AC
Contact information
Practice address
118 S CLINTON ST, CHICAGO, IL 60661-3628
(312) 548-8498
Mailing address
118 S CLINTON ST, CHICAGO, IL 60661-3628
(312) 548-8498
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001425
IL
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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