Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madelyn E Brotnow, PA-C

Individual provider Physician Assistant · NPI 1174331680

Madelyn E Brotnow, PA-C is a Physician Assistant in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1401 E State St
Rockford, IL 61104-2315
Phone: (779) 696-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 010960 (IL)

Record details

NPI number1174331680
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 30, 2024
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024
Mailing address837 Deering Ct, West Chicago, IL 60185-4956

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