Individual
AUSTIN JOHN MADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036174529
IL
Other
Enumeration date
03/20/2019
Last updated
04/07/2025
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