Individual
ARTIST MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
10706 N SLEEPY HOLLOW RD, PEORIA, IL 61615-1124
(253) 326-7628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041570482
IL
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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