Healthcare Provider Details

I. General information

NPI: 1326952953
Provider Name (Legal Business Name): CARRIE ANNE MADDEN CHOQUETTE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 E OGDEN AVE STE 106
HINSDALE IL
60521-3608
US

IV. Provider business mailing address

5118 N NEW ENGLAND AVE
CHICAGO IL
60656-3705
US

V. Phone/Fax

Practice location:
  • Phone: 855-543-7687
  • Fax:
Mailing address:
  • Phone: 847-347-2665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.032120
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: