Search › Illinois › 171100000X
Richard Maddox, LAC
NPI 1528664638 · on the registry since 2020 · sole proprietor
Practice
- Address
- 320 Ottawa Dr
Bolingbrook, IL 60440 - Phone
- (313) 720-4139
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois