Provider Demographics
NPI:1679970628
Name:MADRIN INC
Entity type:Organization
Organization Name:MADRIN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:OLHA
Authorized Official - Last Name:ZABROSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-515-0001
Mailing Address - Street 1:3311 HOBSON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-1587
Mailing Address - Country:US
Mailing Address - Phone:630-515-0001
Mailing Address - Fax:630-515-0139
Practice Address - Street 1:3311 HOBSON RD
Practice Address - Street 2:SUITE B
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-1587
Practice Address - Country:US
Practice Address - Phone:630-515-0001
Practice Address - Fax:630-515-0139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038006427111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILT87120Medicare UPIN