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Jill Irene Maddack, APN
Family Nurse Practitioner in Lowell, Indiana
NPI 1750634531

Jill Irene Maddack is a Family Nurse Practitioner based in Detroit, IN and is specialized in Family. Jill Irene Maddack practices in Lowell, IN and has the professional credentials of APN. The NPI Number for Jill Irene Maddack is 1750634531 and holds a License No. 28107133A (Indiana).

The current practice location address for Jill Irene Maddack is 4500 W 181St Ave, Lowell, IN and can be reached out via phone at 219-690-2016 and via fax at 219-690-1862.

Location: 4500 W 181St Ave, Lowell, IN, 48278-1076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750634531
Provider Name
Jill Irene Maddack
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
4500 W 181St Ave, Lowell, IN, 48278-1076
Phone Number
219-690-2016
Fax Number
219-690-1862
Provider Enumeration Date
10/18/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201173110 05 IN
institution
Provider Business Practice Location Address Details
Address
4500 W 181St Ave
City
Lowell
State
Indiana
Zip
46356-0017
Phone Number
219-690-2016
Fax Number
219-690-1862
person
Provider Business Mailing Address Details
Address
4500 W 181St Ave
City
Lowell
State
Indiana
Zip
46356-0017
Phone Number
219-690-2016
Fax Number
219-690-1862
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28107133A (Indiana)
Definition
Definition to come...
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