Individual
NIAIRA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 W ROOSEVELT RD, CHICAGO, IL 60608-1131
(773) 577-7163
Mailing address
2310 W ROOSEVELT RD, CHICAGO, IL 60608-1131
(773) 577-7163
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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