Individual
MARTHA MERZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 878-8700
Mailing address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 878-8700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007544
IL
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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