Most Relevant Information
Provider Data
| NPI Number: | 1003461757 |
| Provider Name: | MADISON SHERWOOD |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-18-49702 |
Most Important Dates
| Enumeration Date: | 08/08/2019 |
| Last Updated: | 11/29/2022 |
Provider Practice Location
24402 W LOCKPORT ST STE 124
PLAINFIELD
IL
605444288
Practice Location Phone/Fax
| Phone: | 8154691500 |
| Fax: | 8152390408 |
Provider Mailing Location
24402 W LOCKPORT ST STE 124
PLAINFIELD
IL
605444288
Provider Mailing Phone/Fax
| Phone: | 8154691500 |
| Fax: |