Individual
MADELYN MATZUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 SKOKIE BLVD, NORTHBROOK, IL 60062-4118
(847) 441-5600
Mailing address
10038 SCHILLER BLVD, FRANKLIN PARK, IL 60131-2557
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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