| Maddalena Fairchild, | |
|
401 N Main St, Roanoke, IL 61561-7585 | |
| (309) 923-2661 | |
| Not Available |
| Full Name | Maddalena Fairchild |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 401 N Main St, Roanoke, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790644383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.011960 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Maddalena Fairchild, 2970 Briarwood Ln, Titusville, FL 32796-1689 Ph: () - | Maddalena Fairchild, 401 N Main St, Roanoke, IL 61561-7585 Ph: (309) 923-2661 |
Ms. Victoria Gorfin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 | |
Mckenzie K Mangun, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 401 N Main St, Roanoke, IL 61561 Phone: 309-923-2661 Fax: 309-923-7628 |