Provider Demographics
NPI:1760051932
Name:MADRIGRANO, TAMMY M (MSW, APSW, LSW)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:M
Last Name:MADRIGRANO
Suffix:
Gender:F
Credentials:MSW, APSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 LAKE COOK RD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-5613
Mailing Address - Country:US
Mailing Address - Phone:847-559-0001
Mailing Address - Fax:847-559-8438
Practice Address - Street 1:707 LAKE COOK RD
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-5613
Practice Address - Country:US
Practice Address - Phone:847-559-0001
Practice Address - Fax:847-559-8438
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker