Healthcare Provider Details

I. General information

NPI: 1801574710
Provider Name (Legal Business Name): MADELINE HOPKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 DUNLAP CT
SAVOY IL
61874-9501
US

IV. Provider business mailing address

7 DUNLAP CT
SAVOY IL
61874-9501
US

V. Phone/Fax

Practice location:
  • Phone: 217-203-2008
  • Fax: 844-412-7089
Mailing address:
  • Phone: 217-203-2008
  • Fax: 844-412-7089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149041339
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number132990
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: