Individual
STEPHEN V MARCOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE # MC3077, CHICAGO, IL 60637-1443
(773) 702-3858
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.159958
IL
2084P0800X
Psychiatry Physician
29089
NE
208D00000X
General Practice Physician
29089
NE
Other
Enumeration date
05/02/2014
Last updated
05/15/2022
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