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Mary Beth Madonna

Pediatric Surgery

2300 N Childrens Plz
Chicago , Illinois 60614-3363

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Image

Mary Beth Madonna

Pediatric Surgery

2300 N Childrens Plz
Chicago , Illinois 60614-3363

Write a Review Save Call

Mary Beth Madonna

Pediatric Surgery

2300 N Childrens Plz
Chicago , Illinois 60614-3363

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Surgery

Languages spoken

  • English

Location

2300 N Childrens Plz Chicago , Illinois 60614-3363

First Address

  • Mary Beth Madonna
  • 35422 Eagle Way
  • Chicago, IL
  • Zip : 60678-1354
  • Phone :

Second Address

  • Mary Beth Madonna
  • 2300 N Childrens Plz
  • Chicago, IL
  • Zip : 60614-3363
  • Phone : (630) 789-2550

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FAQs


Where did Mary Beth Madonna attend graduate school?

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Where did Mary Beth Madonna do her residency?

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Where did Mary Beth Madonna do her fellowship?

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Is Mary Beth Madonna board certified?

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What type of doctor is Mary Beth Madonna

Pediatric Surgery

In what state does Mary Beth Madonna practice in?

Illinois

Where is Mary Beth Madonna ’s practice located?

2300 N Childrens Plz , Chicago, Illinois, 60614-3363

What is Mary Beth Madonna ’s gender?

Female

Is Mary Beth Madonna a sole practitioner?

No

Is Mary Beth Madonna accepting new patients?

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What languages does Mary Beth Madonna speak?

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Does Mary Beth Madonna accept insurance?

Yes, Mary Beth Madonna accepts insurance

Does Mary Beth Madonna offers telemedicine?

Mary Beth Madonna has not indicated if she offers telemedicine

What is Mary Beth Madonna ’s professional license number?

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What is Mary Beth Madonna ’s NPI number?

1265427108

Does Mary Beth Madonna have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2086S0120X Pediatric Surgery 036-083049 IL

National Provider Identifier

NPI 1265427108
Provider Name Mary Beth Madonna
First Address Chicago, IL 60678-1354
Second Address Chicago, IL 60614-3363
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 16/09/2005
Last Update Date 01/04/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
036083049 (05) IL
1627123 BCBS PROVIDER ID (01) IL
H27433 (02) IL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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