Look up the most recent NPI and PECOS records

Rebecca Grace Maddrell

Family Medicine

Allopathic & Osteopathic Physicians

1 Erie Court, Suite 6160, Dr. A.L. Burdick Family Medicine Center, Oak Park, IL 60302-2519

PECOS Enrollment

This provider is enrolled in PECOS as REBECCA MADDRELL.

Based on the most recent information from CMS, provider Rebecca Grace Maddrell is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1811344567
Provider Type
Individual
Full Name
Maddrell, Rebecca Grace
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/23/2016
Last Updated
2/16/2021

Contact Information

Practice Location

1 Erie Court, Suite 6160, Dr. A.L. Burdick Family Medicine Center, Oak Park, IL 60302-2519

(708) 763-1490

(708) 763-7232

Mailing Location

1 Erie Court, Suite 6160, Dr. A.L. Burdick Family Medicine Center, Oak Park, IL 60302-2519

(708) 763-1490

(708) 763-7232

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 36148153 Illinois
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Rebecca Grace Maddrell

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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