Individual
MADISON VOLPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
3131 GREENHEAD DR STE D, SPRINGFIELD, IL 62711-7426
(217) 891-1524
(855) 246-2163
Mailing address
1523 E WALNUT ST, CHATHAM, IL 62629-1541
(217) 317-3193
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056014231
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056014231
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
10/24/2021
Last updated
10/24/2021
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