Individual
MRS. MADELYN SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6139 W NEWPORT AVE, CHICAGO, IL 60634-4142
(773) 216-9615
Mailing address
6139 W NEWPORT AVE, CHICAGO, IL 60634-4142
(773) 216-9615
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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