Individual
MADELINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 W OGDEN AVE, WESTMONT, IL 60559-1419
(630) 435-6107
(630) 328-2375
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010094
IL
363A00000X
Physician Assistant
50.007538RX
OH
Other
Enumeration date
02/07/2021
Last updated
01/08/2025
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