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Madison Odum

Case Manager/Care Coordinator in Carbondale, IL. Individual provider (NPI-1).

NPI number1023830205
StatusActive
Last updated in NPPESOct 29, 2024

Details

NPI
1023830205
Entity type
Individual (NPI-1)
Name
Madison Odum
Sex
Female
Sole proprietor
No
Enumeration date
Oct 29, 2024
Certification date
Oct 29, 2024
Last updated
Oct 29, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

2311 S Illinois Ave
Carbondale, IL 62903-5912

Phone 618-457-6703 · Fax 618-549-3734

Mailing address

902 W Main St
West Frankfort, IL 62896-2210

Phone 618-937-6483 · Fax 618-937-1440

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Case Manager/Care Coordinator providers in Carbondale, IL

All 6 Case Manager/Care Coordinator providers in Carbondale · All 1,335 providers in Carbondale

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