Individual
MADISON SCROGGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 N ANNIE GLIDDEN RD, DEKALB, IL 60115-2703
(630) 659-8270
Mailing address
308 S 15TH ST, ST CHARLES, IL 60174-3607
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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