Larsen, Madeline Rose

Larsen, Madeline Rose is an individual health care provider with primary practice located at 9650 Gross Point Rd Ste 2900 , Skokie IL 60076-5006. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Larsen, Madeline Rose can be contacted via phone (847) 866-7846.

Contact Information

Primary practice address
9650 Gross Point Rd Ste 2900 Skokie IL 60076-5006
Phone: (847) 866-7846
Fax: (846) 954-5787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085009052 Illinois

Profile Details

NPI number 1417686833
LBN Legal business name Larsen, Madeline Rose
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2022
Last updated Aug 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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