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General NPI Number Information
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NPI Number | 1649780016
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Entity Type | Organization
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Legal Business Name | MADRIGAL CONSULTING AND COUNSELING LLP
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 450 E 22ND ST STE 150
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City | LOMBARD
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State | IL
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Zip | 60148-6118
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Country | US
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Telephone | 331-262-4049
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Fax |
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Provider Business Mailing Address
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Address Line | 450 E 22ND ST STE 158
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City | LOMBARD
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State | IL
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Zip | 60148-6175
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Country | US
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Telephone | 304-743-9006
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Fax | 630-474-3903
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Authorized Official
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Title or Position | CO OWNER
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Name | CESAR MADRIGAL
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Credential | LCSW
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Telephone | 630-474-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149.004898
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License Number State | IL
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