Individual
ALEXANDRA LATHE MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-8846
Mailing address
677 1/2 W WRIGHTWOOD AVE APT 3N, CHICAGO, IL 60614-2522
(216) 956-9852
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
10/17/2013
Last updated
06/28/2021
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