Provider Demographics
NPI:1487745055
Name:MADRIGAL, CESAR JR (LCSW)
Entity type:Individual
Prefix:MR
First Name:CESAR
Middle Name:
Last Name:MADRIGAL
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:899 CAROL AVE
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-1944
Mailing Address - Country:US
Mailing Address - Phone:224-227-0456
Mailing Address - Fax:
Practice Address - Street 1:450 E 22ND ST STE 150
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-6118
Practice Address - Country:US
Practice Address - Phone:331-262-4049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490048981041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1487745055OtherNPI