CODY MADDOCK
NPI 1699253187
Counselor - Professional in Pekin, IL

Active since August 06, 2018
3248 VANDEVER AVE, PEKIN, IL 61554(309) 347-5522 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cody Maddock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODY MADDOCK (NPI 1699253187) is an individual professional provider in Pekin, Illinois and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1699253187
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameCODY MADDOCK
Location Address3248 VANDEVER AVEPekin, IL 61554-6257
Mailing Address3248 Vandever AvePekin, IL 61554-6257
Sole ProprietorNo
Enumeration DateAugust 6, 2018
NPI 1699253187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
3248 VANDEVER AVE, Pekin, IL 61554

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
3248 VANDEVER AVE
PEKIN, IL 61554
Clinic/Center (Mental Health (Including Community Mental Health Center))
3248 VANDEVER AVE
PEKIN, IL 61554
Counselor
3248 VANDEVER AVE
PEKIN, IL 61554
Counselor (Mental Health)
3248 VANDEVER AVE
PEKIN, IL 61554
Counselor
3248 VANDEVER AVE
PEKIN, IL 61554
Social Worker
3248 VANDEVER AVE
PEKIN, IL 61554
Counselor (Addiction (Substance Use Disorder))
3248 VANDEVER AVE
PEKIN, IL 61554
Counselor (Addiction (Substance Use Disorder))
3248 VANDEVER AVE
PEKIN, IL 61554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cody Maddock's NPI number?

The NPI number for Cody Maddock is 1699253187. It was assigned to this individual provider in the NPPES registry on August 6, 2018.

Where is Cody Maddock located?

Cody Maddock practices at 3248 Vandever Ave, Pekin, IL 61554. The listed phone number is (309) 347-5522.

What is Cody Maddock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Cody Maddock was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.