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MADELYNN ANN KALLEMBACH ATC
NPI 1861130346
Preventive Medicine - Sports Medicine in Monticello, IL

Active since May 24, 2022
604 ADAMS ST, MONTICELLO, IL 61856(217) 649-1663 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2022, May 24, 2022 (2 updates tracked since 2022).

About Madelynn Ann Kallembach Atc NPPES

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

MADELYNN ANN KALLEMBACH ATC (NPI 1861130346) is an individual sports medicine provider in Monticello, Illinois, licensed in Kentucky (2000051152) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1861130346
Entity TypeIndividualFemale
Primary Taxonomy2083S0010X
Provider Legal NameMADELYNN ANN KALLEMBACHCredential: ATC
Location Address604 ADAMS STMonticello, IL 61856-2202
Mailing Address604 Adams StMonticello, IL 61856-2202 · (217) 649-1663
Phone(217) 649-1663
Sole ProprietorNo
Enumeration DateMay 24, 2022
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
✔ NPI 1861130346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083S0010X
License✔ Licensed in KY · 2000051152
Definition

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

604 ADAMS ST, Monticello, IL 61856
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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 Madelynn Kallembach's NPI number?

The NPI number for Madelynn Kallembach is 1861130346. It was assigned to this individual provider in the NPPES registry on May 24, 2022.

Where is Madelynn Kallembach located?

Madelynn Kallembach practices at 604 Adams St, Monticello, IL 61856. The listed phone number is (217) 649-1663.

What is Madelynn Kallembach's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

When was this NPI record last updated?

The NPPES record for Madelynn Kallembach was last updated on June 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.