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Individual

MS. MARILYN KAY SPALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
5259 S NORDICA AVE, CHICAGO, IL 60638-1015
(773) 339-3876
Mailing address
5259 S NORDICA AVE, CHICAGO, IL 60638-1015
(773) 339-3876

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2244762 ; 2359916
IL

Other

Enumeration date
11/20/2008
Last updated
11/20/2008
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