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Individual

MARGOT MARESKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1673 N WOODS WAY, VERNON HILLS, IL 60061-1237
(847) 573-8990
(847) 573-8082
Mailing address
1673 N WOODS WAY, VERNON HILLS, IL 60061-1237
(847) 573-8990
(847) 573-8082

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
070005038
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01632056
BLUE SHIELD PROVIDER NUM
IL
Enumeration date
03/04/2007
Last updated
07/08/2007
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