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MR. JOHN LOUIS MARINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
5025 N PAULINA ST, CHICAGO, IL 60640-2772
(773) 271-9040
Mailing address
510 W BRIAR PL, APT 104, CHICAGO, IL 60657-4625
(630) 699-8165

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-002803
IL

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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