Individual
MARISSA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5417 BENNETT ST APT 3, LOVES PARK, IL 61111-5070
(815) 510-2946
Mailing address
5417 BENNETT ST APT 3, LOVES PARK, IL 61111-5070
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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