Individual
MARY-KATHERINE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5721 S MARYLAND AVE, CHICAGO, IL 60637-1425
(888) 824-0200
Mailing address
1436 W HENDERSON ST APT 2, CHICAGO, IL 60657-2170
(630) 802-3752
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.023794
IL
363LP0200X
Pediatric Nurse Practitioner
318088
AZ
Other
Enumeration date
11/03/2021
Last updated
05/16/2025
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