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Individual

JULIE R MARSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N., A.P.N.

Contact information

Practice address
6636 RIDGE ROAD, DARIEN, IL 60561
(630) 863-3754
(630) 789-9093
Mailing address
6636 RIDGE ROAD, DARIEN, IL 60561
(630) 863-3754
(630) 789-9093

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-190862
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209.018852
IL
363LP2300X
Primary Care Nurse Practitioner
9387-33
WI
364S00000X
Clinical Nurse Specialist
209-005927
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1316998578
GROUP PRACTICE NPI
IL
Enumeration date
05/17/2007
Last updated
08/07/2019
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