Individual
ROBERT MADRIGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
344 LINDEN AVE, WILMETTE, IL 60091-2843
(847) 251-0085
Mailing address
344 LINDEN AVE, WILMETTE, IL 60091-2843
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019032635
IL
122300000X
Dentist
122300000
IL
122300000X
Dentist
123456789
IL
Other
Enumeration date
05/05/2020
Last updated
05/31/2020
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