Individual
DR. VIRGINIA P MADLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 FOXFIELD RD, SUITE 206, ST CHARLES, IL 60174-5799
(630) 584-6127
(630) 584-6070
Mailing address
2900 FOXFIELD RD, SUITE 206, ST CHARLES, IL 60174-5799
(630) 584-6127
(630) 584-6070
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036045010
IL
Other
Enumeration date
07/08/2005
Last updated
07/08/2007
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