MADELYNN A. KALLEMBACH ATC – NPI #1861130346
Preventive Medicine

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

MADELYNN KALLEMBACH is a physician located in MONTICELLO, IL. NPPES has assigned the NPI number 1861130346 to MADELYNN KALLEMBACH on May 24, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2083S0010X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Sports Medicine

The NPI profile was previously updated about 4 years ago on Jun 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MADELYNN KALLEMBACH below.

NPI Profile for
MADELYNN A. KALLEMBACH

NPI Number
1861130346
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MADELYNN A. KALLEMBACH
Credentials
ATC
Primary location
604 ADAMS ST
MONTICELLO, IL 61856-2202
Phone: (217) 649-1663 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jun 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083S0010X
- Preventive Medicine / Sports Medicine (Primary)
KY 2000051152

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.