NPI 1023830205
Madison Odum
Practice location
- Address
- 2311 S Illinois Ave, Carbondale, IL 62903-5912
- Phone
- (618) 457-6703
- Fax
- (618) 549-3734
- Mailing address
- 902 W Main St, West Frankfort, IL 62896-2210
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1023830205
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Oct 2024
- Record last updated
- 29 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.