Individual
WENDY J MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, FACS
Contact information
Practice address
300 BARNEY DR, SUITE A, JOLIET, IL 60435-5296
(815) 744-0330
(815) 744-0445
Mailing address
300 BARNEY DR, SUITE A, JOLIET, IL 60435-5296
(815) 744-0330
(815) 744-0445
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036075261
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075261
—
IL
01
—
4226783
AETNA
IL
01
—
69988
HEALTH ALLIANCE, URBANA
IL
01
—
9930030
BC/BS OF ILLINOIS
IL
Enumeration date
02/22/2006
Last updated
08/12/2008
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