Brian Timothy Madvig in Wheaton - Clinical
Brian Timothy Madvig - NPI 1285641472
Brian Timothy Madvig is a Clinical in Wheaton, Illinois. Brian Timothy Madvig practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brian Timothy Madvig is 1285641472. The last update date is 2008-06-17.
Brian Timothy Madvig's current location address is 1725 S Naperville Rd, Wheaton, Illinois. You can contact this provider via phone number 6304627005 and fax number 6304627006. The mailing address for Brian Timothy Madvig is 1725 S Naperville Rd, Wheaton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brian Timothy Madvig |
|---|---|
| Address | 1725 S Naperville Rd, Wheaton, Illinois |
| Phone Number | 6304627005 |
| Fax Number | 6304627006 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Madvig T. Brian |
| Credentials | PH.D. |
| Telephone Number | 6304627005 |
NPI Number Detail
| NPI Number | 1285641472 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 1725 S Naperville Rd |
|---|---|
| City | Wheaton |
| State | Illinois (IL) |
| Post Code | 601878155 |
| Phone Number | 6304627005 |
| Fax Number | 6304627006 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 071-005079 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Brian Timothy Madvig's unique identification number?
The Brian Timothy Madvig has been assigned the NPI (National Provider Identifier) Number 1285641472 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Brian Timothy Madvig's physical address?
The Brian Timothy Madvig is physically located at 1725 S Naperville Rd, in the city of Wheaton, IL, with the postal code 601878155.
What is Brian Timothy Madvig's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brian Timothy Madvig is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date was the 1285641472 assigned to Brian Timothy Madvig?
The Brian Timothy Madvig was issued its 1285641472 on 2006-08-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Brian Timothy Madvig, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brian Timothy Madvig, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-17.
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