IndividualActive
Madelynn Kallembach, ATC
NPI 1861130346 · Sports Medicine (Preventive Medicine) Physician · Monticello, IL
Provider details
- NPI number
- 1861130346
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 2000051152 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
604 Adams St
Monticello, IL 61856-2202
Phone: (217) 649-1663
Approximate (ZIP-level) locationGet directions
Mailing address
604 Adams St
Monticello, IL 61856-2202
Registry dates
- Enumerated
- 2022-05-24
- Last updated
- 2022-06-06
- Certified
- 2022-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.