Individual
MRS. MARIAN ETTA TOWNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6417 W IRVING PARK RD, CHICAGO, IL 60634-2437
(773) 777-7112
(773) 777-7611
Mailing address
6406 S MINERVA AVE APT GDN, CHICAGO, IL 60637-3666
(847) 644-2896
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770704579
—
IL
Enumeration date
08/04/2020
Last updated
08/04/2020
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