Individual
MARCIA TENEZACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LNP
Contact information
Practice address
9518 FRANKLIN AVE, FRANKLIN PARK, IL 60131-2717
(847) 260-5532
(847) 260-5721
Mailing address
9518 FRANKLIN AVE, FRANKLIN PARK, IL 60131-2717
(847) 260-5532
(847) 260-5721
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209016858
IL
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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