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REBECCA GRACE MADDRELL M.D. NPI 1811344567


NPI Information

NPI: 1811344567
Provider Name: REBECCA GRACE MADDRELL, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1 ERIE COURT, SUITE 6160
DR. A.L. BURDICK FAMILY MEDICINE CENTER
OAK PARK, IL
ZIP 60302
Phone: (708) 763-1490
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Rebecca Grace Maddrell, M.D. is a family medicine in Oak Park, IL with 8 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Rebecca Grace Maddrell, M.D. NPI is 1811344567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

1 ERIE COURT, SUITE 6160
DR. A.L. BURDICK FAMILY MEDICINE CENTER
OAK PARK, IL
ZIP 60302-519
Phone: (708) 763-1490
Fax: (708) 763-7232

The NPI 1811344567 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2016 and was last updated on 2/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207Q00000XFamily Medicine36148153ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.