Individual
MS. MADISON LAKE-WICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1S210 SUMMIT AVE, OAKBROOK TERRACE, IL 60181-3933
(630) 282-6004
Mailing address
1S210 SUMMIT AVE, OAKBROOK TERRACE, IL 60181-3933
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041519145
IL
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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