Individual
MRS. GAIL MARIE MARICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5666 E STATE ST, ROCKFORD, IL 61108-2425
(815) 226-2000
Mailing address
18032 S SPRING MEADOWS DR, MOKENA, IL 60448-9598
(708) 478-4847
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.290236
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209.009575
IL
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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