Individual
MARINA MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1300 N ARLINGTON HEIGHTS RD STE 130, ITASCA, IL 60143-3128
(847) 871-4540
(847) 871-4597
Mailing address
POB 7132960, CHICAGO, IL 60677-0001
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-011170
IL
Other
Enumeration date
03/07/2025
Last updated
05/16/2025
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