Physician Compare National (NPI:1477985273)

HEALTHCARE PROVIDER: KATHLEEN MADL LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1477985273
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870725021
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140422001958
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MADL
	Individual professional last name
Provider First Name	KATHLEEN
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4842 N TALMAN AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3
	Group Practice or individual's line 2 address
City	CHICAGO
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	606252859
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8478947239
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y