Individual
MARION STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
251 E HURON ST, SUITE 16-738, CHICAGO, IL 60611-2908
(312) 926-0008
Mailing address
251 E HURON ST, SUITE 16-738, CHICAGO, IL 60611-2908
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036134951
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2011
Last updated
09/08/2017
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