Individual
MARJORIE ACEREMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9544 MEADE AVE, OAK LAWN, IL 60453-2744
(773) 791-5029
Mailing address
9544 MEADE AVE, OAK LAWN, IL 60453-2744
(773) 791-5029
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043105695
IL
Other
Enumeration date
04/28/2013
Last updated
04/28/2013
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