Individual
BROOKE MADERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 N YORK ST STE 2, ELMHURST, IL 60126-2888
(163) 038-4956
Mailing address
916 S MYRTLE AVENUE, VILLA PARK, IL 60181
(412) 330-8714
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IL
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/18/2013
Last updated
11/09/2021
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