MEDICARE: DR. MICHAEL GEORGE MADAY MD

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	207X00000X	Orthopaedic Surgery Physician		IL

General Provider Information

NPI Number	:	1902859341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL GEORGE MADAY MD

Provider Business Mailing Address
First Line	:	2850 S WABASH AVE
Second Line	:	SUITE 100
City	:	CHICAGO
State	:	IL
Zip	:	60616-2955
Country	:	US
Telephone Number	:	312-842-4600
Fax Number	:	312-842-8694

Provider Business Practice Location Address
First Line	:	2850 S WABASH AVE
Second Line	:	SUITE 100
City	:	CHICAGO
State	:	IL
Zip	:	60616-2955
Country	:	US
Telephone Number	:	312-842-4600
Fax Number	:	312-842-8694

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

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	07/09/2007

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