Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MADDALENA FAIRCHILD
ActiveMADDALENA FAIRCHILD is a Physician Assistant healthcare provider located in ROANOKE, Illinois. NPI 1790644383 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROANOKE, IL
Registration Details
- NPI Number
- 1790644383
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2026 (0.57016552792681 yrs)
- Last Updated
- Jan 19, 2026
- License
-
085.011960 (IL)
Practice Information
- Address
-
401 N MAIN STROANOKE, IL, 615617585Browse IL providers · Browse ZIP 61561
- Phone
- 3099232661
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ROANOKE, IL
| Name | Credential | NPI |
|---|---|---|
| MCKENZIE K MANGUN | PA-C | 1851074090 |
| MS. VICTORIA GORFIN | PA-C | 1831953843 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.