Individual
MARISA A. SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
522 TORRENCE AVE, CALUMET CITY, IL 60409-3216
(800) 323-8622
(224) 225-0388
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209005122
IL
363LF0000X
Family Nurse Practitioner
209005122
IL
Other
Enumeration date
11/03/2006
Last updated
05/11/2022
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