Individual
DR. RICHARD M MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3554 W 95TH ST, EVERGREEN PARK, IL 60805
(708) 423-1417
(708) 423-3076
Mailing address
10428 S LARAMIE, OAK LAWN, IL 60453
(708) 422-2153
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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