Individual
AMANDA DEVELL MADENIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NHP, MW
Contact information
Practice address
5111 N 2ND ST, LOVES PARK, IL 61111-5001
(815) 566-2432
Mailing address
5111 N 2ND ST, LOVES PARK, IL 61111-5001
(815) 566-2432
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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