Individual
MADELINE MEIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3117 ELIZABETH ST, MARENGO, IL 60152-9658
(815) 276-7215
Mailing address
3117 ELIZABETH ST, MARENGO, IL 60152-9658
(815) 276-7215
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041403950
IL
163W00000X
Registered Nurse
19918530
WI
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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