Individual
MARLENE DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRANIAL PROSTHESES
Contact information
Practice address
2618 N HALSTED ST, CHICAGO, IL 60614-2302
(312) 523-8270
(312) 523-8270
Mailing address
1400 S MICHIGAN AVE APT 1607, CHICAGO, IL 60605-3723
(312) 523-8270
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
4XJPICXOHO
IL
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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