Most Relevant Information
Provider Data
| NPI Number: | 1003334905 |
| Provider Name: | MADISON E PICKARD PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 070023174 |
Most Important Dates
| Enumeration Date: | 08/31/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
1010 FAIRWAY DR
FREEPORT
IL
610326600
Practice Location Phone/Fax
| Phone: | 8155996340 |
| Fax: | 8155996748 |
Provider Mailing Location
1010 FAIRWAY DR
FREEPORT
IL
610326600
Provider Mailing Phone/Fax
| Phone: | 8155996340 |
| Fax: | 8155996748 |