Individual
CALLAN MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2007 95TH ST, SUITE B, NAPERVILLE, IL 60564-8459
(630) 646-6593
Mailing address
1449 N ASHLAND AVE, APT 3R, CHICAGO, IL 60622-2269
(913) 481-4201
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0993388-NP
CO
363LF0000X
Family Nurse Practitioner
209013352
IL
Other
Enumeration date
10/30/2015
Last updated
11/22/2019
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