Individual
DR. FAITH MADUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2122 TROY RD, EDWARDSVILLE, IL 62025-2540
(618) 800-4500
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-2540
(618) 800-4500
(618) 800-4501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036174838
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
IL
Enumeration date
06/03/2022
Last updated
09/16/2025
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