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Jared Madden
Diagnostic Radiology Physician in Evanston, Illinois
NPI 1326612052

Jared Madden is a Diagnostic Radiology Physician based in Chicago, IL and is specialized in Diagnostic Radiology. Jared Madden practices in Evanston, IL. The NPI Number for Jared Madden is 1326612052 and holds a License No. 1326612052 (Illinois).

The current practice location address for Jared Madden is 355 Ridge Ave, Evanston, IL and can be reached out via phone at 847-316-4000.

Location: 355 Ridge Ave, Evanston, IL, 60612-3801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326612052
Provider Name
Jared Madden
Credential
Provider Entity Type
Individual
Gender
Male
Address
355 Ridge Ave, Evanston, IL, 60612-3801
Phone Number
847-316-4000
Fax Number
Provider Enumeration Date
05/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
355 Ridge Ave
City
Evanston
State
Illinois
Zip
60202-3328
Phone Number
847-316-4000
Fax Number
person
Provider Business Mailing Address Details
Address
355 Ridge Ave
City
Evanston
State
Illinois
Zip
60202-3328
Phone Number
847-316-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
1326612052 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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