MEDICARE: MADELINE MAZE

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	103K00000X	Behavior Analyst	1-21-52790	IL

General Provider Information

NPI Number	:	1982173928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELINE MAZE

Provider Business Mailing Address
First Line	:	PO BOX 639561
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-9561
Country	:	US
Telephone Number	:	844-247-7222
Fax Number	:	215-489-8766

Provider Business Practice Location Address
First Line	:	1371 ABBOTT CT
Second Line	:
City	:	BUFFALO GROVE
State	:	IL
Zip	:	60089-2367
Country	:	US
Telephone Number	:	844-247-7222
Fax Number	:	215-489-8766

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

Provider Enumeration Date	:	11/20/2018
Last Update Date	:	09/27/2024

Similar Medicare Providers

1144168964 — LINDSEY LEHRFELD OTR/L
Practice Location Address:

1371 ABBOTT CT STE A
BUFFALO GROVE, IL
60089-2367

Practice Phone: 847-848-1551
Practice Fax:

1629329172 — IN2GREAT
Practice Location Address:

1371 ABBOTT CT
BUFFALO GROVE, IL
60089-2367

Practice Phone: 847-777-8995
Practice Fax: 847-947-2890

1265917181 — MELISSA VAUGHAN PODRAZIK OTR/L
Practice Location Address:

1371 ABBOTT CT STE A
BUFFALO GROVE, IL
60089-2367

Practice Phone: 847-777-8995
Practice Fax:

1952861023 — SHELBY OLITA
Practice Location Address:

1371 ABBOTT CT STE A
BUFFALO GROVE, IL
60089-2367

Practice Phone: 847-777-8995
Practice Fax:

1366073215 — NIMRA BURNEY
Practice Location Address:

1371 ABBOTT CT
BUFFALO GROVE, IL
60089-2367

Practice Phone: 847-777-8995
Practice Fax:

1548038839 — ELENA PRESTA OTR/L
Practice Location Address:

1371 ABBOTT CT
BUFFALO GROVE, IL
60089-2367

Practice Phone: 847-777-8995
Practice Fax:

Directions to “ MADELINE MAZE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.