NPI

Kurt A Maddock

NPI 1740253707

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
MD
Type
Individual
Enumeration date
2006-02-09
Last updated
2021-08-03

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Specialties

Licenses

License IN
01038293A
License IL
036144660
License IL
036.144660

Location

Practice location
2 S Hospital Dr
City
Murphysboro IL
Postal code
62966-3333
Phone
(618) 684-1035

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Murphysboro, IL. 208 records in the public file.

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