Individual
DR. JUDITH LYNN MARCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1431 N WESTERN AVE, STE 406, CHICAGO, IL 60622-1797
(312) 633-5841
(312) 491-5020
Mailing address
1431 N WESTERN AVE, STE 406, CHICAGO, IL 60622-1797
(312) 633-5841
(312) 491-5020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036108355
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108355
—
IL
Enumeration date
07/14/2006
Last updated
10/03/2013
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