Individual
MR. MAX BENJAMIN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
934 W WILSON AVE APT 1D, CHICAGO, IL 60640-1096
(773) 576-4689
Mailing address
934 W WILSON AVE APT 1D, CHICAGO, IL 60640-1096
(773) 576-4689
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
150.112617
IL
Other
Enumeration date
07/07/2023
Last updated
02/25/2025
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