Individual
MADELINE L INTUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
244 E ROOSEVELT RD, LOMBARD, IL 60148-4647
(815) 670-0905
Mailing address
244 E ROOSEVELT RD, LOMBARD, IL 60148-4647
(815) 670-0905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022096
IL
Other
Enumeration date
02/02/2021
Last updated
05/12/2022
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