Individual
DR. MARLA KUSHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2437 N SOUTHPORT AVE, CHICAGO, IL 60614-2060
(773) 244-9600
(773) 248-2348
Mailing address
PO BOX 14730, CHICAGO, IL 60614-8523
(773) 244-9600
(833) 262-4857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036075717
IL
207Q00000X
Family Medicine Physician
03675717
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075717
—
IL
Enumeration date
05/11/2006
Last updated
12/17/2021
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