Individual
MADDIE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
737 N MICHIGAN AVE, CHICAGO, IL 60611-2615
(248) 409-8882
Mailing address
737 N MICHIGAN AVE, CHICAGO, IL 60611-2615
(248) 409-8882
(248) 409-8882
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178021900
IL
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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