Provider Demographics
NPI:1760974216
Name:DURAND, MADELEINE ROSE (MD)
Entity Type:Individual
Prefix:DR
First Name:MADELEINE
Middle Name:ROSE
Last Name:DURAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:ROSE
Other - Last Name:DURAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:350 S NORTHWEST HWY STE 112
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-4262
Mailing Address - Country:US
Mailing Address - Phone:847-401-8559
Mailing Address - Fax:
Practice Address - Street 1:350 S NORTHWEST HWY STE 112
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-4262
Practice Address - Country:US
Practice Address - Phone:847-825-8108
Practice Address - Fax:847-825-1774
Is Sole Proprietor?:No
Enumeration Date:2018-05-31
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.159953207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology