Individual
MR. MARCUS LARRIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
10837 S CICERO AVE, OAK LAWN, IL 60453-6458
(773) 636-7575
Mailing address
2922 IMPERIAL CT, FLOSSMOOR, IL 60422-2210
(773) 318-8286
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.019399
IL
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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