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Brian Timothy Madvig

Psychologist, Clinical in Wheaton, IL. Organization (NPI-2).

NPI number1285641472
StatusActive
Last updated in NPPESJun 17, 2008

Details

NPI
1285641472
Entity type
Organization (NPI-2)
Legal business name
Brian Timothy Madvig
Organization subpart
No
Enumeration date
Aug 1, 2006
Last updated
Jun 17, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical071-005079ILYes

Other names

  • Arbor Clinical Associates (Doing Business As)

Practice location

1725 S Naperville Rd
Suite 207
Wheaton, IL 60187-8155

Phone 630-462-7005 · Fax 630-462-7006

Mailing address

1725 S Naperville Rd
Suite 207
Wheaton, IL 60187-8155

Phone 630-462-7005 · Fax 630-462-7006

Authorized official

Brian T. Madvig
Owner
6304627005

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