Healthcare Provider Details

I. General information

NPI: 1780360552
Provider Name (Legal Business Name): MADYSON BONDI LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 N. MICHIGAN AVE. SUITE 444
CHICAGO IL
60601
US

IV. Provider business mailing address

1464 S MICHIGAN AVE APT 1008
CHICAGO IL
60605-3633
US

V. Phone/Fax

Practice location:
  • Phone: 312-278-3054
  • Fax:
Mailing address:
  • Phone: 224-456-9461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.017699
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: