| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MADELINE M SMITH | 1780273326 | 2022-11-16 |
Madeline M Smith is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1780273326. Registration indicates Madeline M Smith is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers) (Speech, Language and Hearing Service Providers, Speech-Language Pathologist) (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
| Entity Type | Individual |
| Provider Name | Madeline M Smith MA, CCC-SLP |
| Practice Office Address | 9000 W SURA LN GREENFIELD, WI US |
| Practice Office Telephone | 4142466500 |
| Practice Office Fax | 4142466505 |
| Mailing Address | 3301 W FOREST HOME AVE MILWAUKEE, WI 532152843 US |
| Business Telephone | 4142466500 |
| Business Fax | 4142466505 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 801 S Milwaukee Ave | Libertyville, IL 600483204 | 8479905350 |
| FHIR URL [] | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | |
| Direct Messaging Address [] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers | |
| 235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers | 5493
WI |
| 100204537 | MEDICAID | WI |