MEDICARE: MADISON MARIA DUFF OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	056.016887	IL

General Provider Information

NPI Number	:	1760315931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON MARIA DUFF OTR/L

Provider Business Mailing Address
First Line	:	9650 GROSS POINT RD
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-1214
Country	:	US
Telephone Number	:	224-251-2444
Fax Number	:	224-251-2444

Provider Business Practice Location Address
First Line	:	9650 GROSS POINT RD
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-1214
Country	:	US
Telephone Number	:	847-933-6754
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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