Individual
MARISSA LYNN PUHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
430 PENNSYLVANIA AVE, GLEN ELLYN, IL 60137-4464
(630) 545-7855
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006976
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/16/2018
Last updated
02/19/2026
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