Individual
MARC EDWARD OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1776 MOON LAKE BLVD, HOFFMAN ESTATES, IL 60169-1010
(847) 882-4940
(847) 882-4299
Mailing address
1776 MOON LAKE BLVD, HOFFMAN ESTATES, IL 60169-1010
(847) 882-4940
(847) 882-4299
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043106427
IL
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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