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

Madison Leigh Fallis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831979491

Madison Leigh Fallis is a Student in an Organized Health Care Education/Training Program in O Fallon, Illinois. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284
Phone: (618) 256-9355
Fax: (618) 206-2332
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1111 W 17th St, Tulsa, OK 74107-1886 — (918) 582-1972

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1831979491
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2023
Last updated in NPPESDecember 15, 2024
Certification dateDecember 15, 2024
Mailing address3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284

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