Individual
MS. MARCIE L HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2738 W 111TH ST, CHICAGO, IL 60655-1832
(773) 239-0355
(773) 239-0357
Mailing address
2738 W 111TH ST, CHICAGO, IL 60655-1832
(773) 239-0355
(773) 239-0357
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
—
—
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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