Individual
KEVIN MADERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6825 W ADDISON ST, CHICAGO, IL 60634-3702
(773) 736-6610
Mailing address
6825 W ADDISON ST, CHICAGO, IL 60634-3702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019035458
IL
122300000X
Dentist
Primary
6001208-15
WI
Other
Enumeration date
06/26/2023
Last updated
07/14/2026
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