Madena Whitesell, COTA

NPI 1700107406 · on the registry since 2010 · sole proprietor

Practice

Address: 201 Locust St
Minonk, IL 61760
Phone: (309) 432-2557
Fax: (309) 432-3330
Organisation at this address: Heritage Manor Minonk, Llc
Heritage Manor - Minonk, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-06-16

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