IndividualActive
Madison Haley
NPI 1619322401 · Student in an Organized Health Care Education/Training Program · Chestnut, IL
Provider details
- NPI number
- 1619322401
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
925 2000th Ave
Chestnut, IL 62518-6028
Phone: (217) 796-3363
Approximate (ZIP-level) locationGet directions
Mailing address
925 2000th Ave
Chestnut, IL 62518-6028
Registry dates
- Enumerated
- 2016-04-28
- Last updated
- 2016-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.