Individual
MARISSA LIVERIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3825 HIGHLAND AVE STE 2B, DOWNERS GROVE, IL 60515-1548
(224) 715-7485
(630) 852-4050
Mailing address
240 E HURON ST STE 1-200, CHICAGO, IL 60611-2909
(312) 503-3576
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004770
IL
Other
Enumeration date
09/05/2013
Last updated
01/04/2022
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