Active NPI
Madison Paige Wall
- Behavior Technician
- Orland Park, IL
National Provider Identifier
1477419554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-400771
- Practice address
- 14225 S 95TH Ave Ste 453
Orland Park, IL 60462-2266 - Phone
- (708) 640-0828
- NPI assigned
- Jan 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-400771 | IL | Primary |
Addresses
Primary practice location
14225 S 95TH Ave Ste 453
Orland Park, IL 60462-2266
Mailing address
17830 Durkin Rd
Tinley Park, IL 60487-2152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-400771 | IL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767225600000",
"number": "1477419554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17830 DURKIN RD",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604872152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14225 S 95TH AVE STE 453",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622266",
"telephone_number": "708-640-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALL",
"first_name": "MADISON",
"middle_name": "PAIGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-01",
"last_updated": "2026-01-01",
"certification_date": "2026-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-24-400771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.