MEDICARE: MADALYN SHARON FLYNN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1841153996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADALYN SHARON FLYNN

Provider Business Mailing Address
First Line	:	416 DORSET ST
Second Line	:
City	:	PROSPECT HEIGHTS
State	:	IL
Zip	:	60070-1410
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	416 DORSET ST
Second Line	:
City	:	PROSPECT HEIGHTS
State	:	IL
Zip	:	60070-1410
Country	:	US
Telephone Number	:	847-337-3432
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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