Madison Palmer

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

336 Gundersen Dr Ste a
Carol Stream, IL 60188-2403

Phone

(630) 871-2100

Fax

(630) 588-0824

NPI assigned

Jul 27, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Outreach Carol Stream

  • Adolescent and Children Mental Health Clinic/Center
  • Carol Stream, IL
  • NPI 1427615541
  NPD (past)
• Outreach York

  • Adult Mental Health Clinic/Center
  • Oakbrook Terrace, IL
  • NPI 1144931023
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1689355190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 GUNDERSEN DR STE A",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882403",
            "telephone_number": "630-871-2100",
            "fax_number": "630-588-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 GUNDERSEN DR STE A",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882403",
            "telephone_number": "630-871-2100",
            "fax_number": "630-588-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MADISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Ostanina, D.D.S.
• Outreach Carol Stream
• Arceli Pablo
• John Blaise Pace, M.D.
• Chris Palbas
• Nora A Palombella, RBT
• Wendell Pamfilo, P.T.
• Pramay Pandya
• Bhumikaben Babulal Patel
• Chintan Devkaran Patel, PHARMD

• Student in an Organized Health Care Education/Training Program in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.