Individual
DR. KAREN LISA MADDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11 S LA SALLE ST, SUITE 2600, CHICAGO, IL 60603-1203
(312) 458-0873
Mailing address
2235 W FLETCHER ST, CHICAGO, IL 60618-6403
(773) 248-8588
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
71004057
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001673361
BCBS PROVIDER
IL
Enumeration date
02/19/2007
Last updated
07/08/2007
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