Organization
LRS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE L MADDEN PSYD (CLINICAL PSYCHOLOGIST)
(708) 383-0729
Entity
Organization
Contact information
Practice address
6601 NORTH AVE, OAK PARK, IL 60302-1005
(708) 383-0729
(708) 383-6729
Mailing address
6601 NORTH AVE, OAK PARK, IL 60302-1005
(708) 383-0729
(708) 383-6729
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006523
IL
1041C0700X
Clinical Social Worker
149003610
IL
1041C0700X
Clinical Social Worker
149009982
—
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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