Individual
JUDITH M MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
900 W FULLERTON AVE, BOX 21, CHICAGO, IL 60614-2427
(773) 880-4553
Mailing address
900 W FULLERTON AVE, BOX 21, CHICAGO, IL 60614-2427
(773) 880-4553
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
IL
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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