Individual
MRS. JANET DAVIS MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5TH AND ROOSEVELT, HINES, IL 60141
(708) 202-8387
Mailing address
1401 W 100TH PL, CHICAGO, IL 60643-2171
(773) 881-8326
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12345
12345
IL
Enumeration date
09/29/2006
Last updated
07/08/2007
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