MEDICARE: MADELYN C BRYANT DPT

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	225100000X	Physical Therapist		IL

General Provider Information

NPI Number	:	1871150615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELYN C BRYANT DPT

Provider Business Mailing Address
First Line	:	210 N WELLS ST APT 2311
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60606-1346
Country	:	US
Telephone Number	:	630-575-1980
Fax Number	:

Provider Business Practice Location Address
First Line	:	680 N LAKE SHORE DR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-4546
Country	:	US
Telephone Number	:	312-475-5548
Fax Number	:

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

Provider Enumeration Date	:	05/28/2019
Last Update Date	:	04/21/2026

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Directions to “ MADELYN C BRYANT DPT” Practice Location

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