Individual
DR. EMIL MARIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(847) 714-4860
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125082495
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M62020094370
DRIVER'S LICENSE
IL
Enumeration date
03/21/2022
Last updated
08/03/2023
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