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Contact Information

LEE MADDEN LICENSED CLINICAL PSYCHOLOGIST
6601 NORTH AVE
OAK PARK, IL60302-1005
 Phone: 708-383-0729
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LEE MADDEN LICENSED CLINICAL PSYCHOLOGIST

NPI # 1326434168
LBN Legal business name LEE MADDEN LICENSED CLINICAL PSYCHOLOGIST
Authorized official LEE MADDEN - (LICENSED CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/08/2015
Last updated 04/08/2015 - About 11 years ago
Identifiers
IL License # 071006523
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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