ANITA JOHANSON MADDOX (LCPC) – Developmental Therapist, NPI 1770623407

ANITA JOHANSON MADDOX (LCPC) is a healthcare provider. based in Lake villa, Illinois. specializing in Developmental Therapist. They hold the professional credentials LCPC. They hold a License No. 180004644 (IL). The NPI Number for ANITA JOHANSON MADDOX (LCPC) is 1770623407

Main info

Female
Name
ANITA JOHANSON MADDOX (LCPC)
NPI
1770623407
Phone
(847) 265-7300
Address
PO BOX 764
Enumeration Date
8 February 2007
Last Update Date
21 September 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for ANITA JOHANSON MADDOX (LCPC)

  • PO BOX 764

    LAKE VILLA, IL 600460764

    Phone: (847) 265-7300

    Fax: (847) 265-7301

    Type: Mailing

  • 89 CEDAR AVE

    LAKE VILLA, IL 600468411

    Phone: (847) 265-7300

    Fax: (847) 265-7301

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60046)

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Frequently asked questions

What NPI should I save for ANITA JOHANSON MADDOX (LCPC)?
Save NPI 1770623407 if you need a stable reference for ANITA JOHANSON MADDOX (LCPC).
Is ANITA JOHANSON MADDOX (LCPC)'s NPI currently valid?
The extract we use shows ANITA JOHANSON MADDOX (LCPC) as active.
Can you summarize ANITA JOHANSON MADDOX (LCPC)'s specialty in plain language?
Clinically, the directory lists ANITA JOHANSON MADDOX (LCPC) with Developmental Therapist. Clinical services aligned with this taxonomy classification.
Where is ANITA JOHANSON MADDOX (LCPC)'s primary listing?
We display Lake Villa, Illinois because that is what the record indicates for ANITA JOHANSON MADDOX (LCPC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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