=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467395392
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MADALYNN MARIE LOCONTE
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/14/2026
-----------------------------------------------------
Last Update Date | 04/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 900 TECHNOLOGY WAY STE 320
-----------------------------------------------------
City | LIBERTYVILLE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60048-5364
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 847-680-2715
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 24910 BLUE IRIS CT N
-----------------------------------------------------
City | PLAINFIELD
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60585-2936
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 815-922-5841
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 150.129077
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------