Individual
DR. LEE L MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6601 NORTH AVE, OAK PARK, IL 60302-1005
(708) 383-0729
Mailing address
6601 NORTH AVE, OAK PARK, IL 60302-1005
(708) 383-0729
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006523
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634131
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/28/2006
Last updated
09/02/2014
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