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Contact Information

MADELYNN A KALLEMBACH, ATC
604 ADAMS ST
MONTICELLO, IL61856-2202
 Phone: 217-649-1663
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2083S0010X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for MADELYNN A KALLEMBACH · (Female)

NPI Number 1861130346
Status Active
Credentials ATC
Entity Individual
Enumeration date 05/24/2022
Last updated 06/06/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 2000051152
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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