Organization
STEPHANIE MADDEN LLC
Active
Other names
Copper Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MADDEN (OWNER / PROVIDER)
(630) 631-1476
Entity
Organization
Contact information
Practice address
500 N DEARBORN ST STE 700, CHICAGO, IL 60654-3397
(630) 631-1476
Mailing address
2675 W GRAND AVE APT 302, CHICAGO, IL 60612-1158
(630) 631-1476
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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