Individual
MADALEINE JANE ODONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
890 GARFIELD AVE STE 206, LIBERTYVILLE, IL 60048-3100
(847) 816-7495
(847) 816-7497
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-010098
IL
Other
Enumeration date
09/06/2022
Last updated
03/28/2024
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