Individual
MARISOL CARREON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3002 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8200
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8296
(847) 984-5689
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
163W00000X
Registered Nurse
Primary
041.507612
IL
Other
Enumeration date
11/28/2022
Last updated
05/28/2026
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