Individual
KELLI LYNN MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
430 PENNSYLVANIA AVE, SUITE 350, GLEN ELLYN, IL 60137-4464
(630) 790-1700
(630) 545-7531
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000348
IL
Other
Enumeration date
10/24/2012
Last updated
07/18/2023
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