Individual
MADELINE CAPLICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
5247 W CUYLER AVE, CHICAGO, IL 60641-1462
(708) 269-5755
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209030183
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2024
Last updated
09/04/2024
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