Madison, Richard L
Madison, Richard L is an individual health care provider with primary practice located at 210 N Hammes Ave Suite 103, Joliet IL 60435-6680. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Madison, Richard L can be contacted via phone (815) 942-6323.Contact Information
Primary practice address
210 N Hammes Ave Suite 103
Joliet IL 60435-6680
Phone: (815) 942-6323
Fax: (815) 942-6423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149-002698 | Illinois |
Profile Details
| NPI number | 1407988520 |
|---|---|
| LBN Legal business name | Madison, Richard L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Dec 21st, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407988520 | NPPES |
| Illinois | Other | 149-002698 | LCSW |
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