Organization
POP RN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGO LOUISE MARASA REGISTERED NURSE (PRESIDENT)
(773) 732-0762
Entity
Organization
Contact information
Practice address
6021 N NEVA AVE, CHICAGO, IL 60631-2445
(773) 732-0762
Mailing address
6021 N NEVA AVE, CHICAGO, IL 60631-2445
(773) 732-0762
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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