Individual
MARIANNE ILLUSTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14300 N 83RD AVE APT 2013, PEORIA, AZ 85381-5606
(516) 725-7481
Mailing address
14300 N 83RD AVE APT 2013, PEORIA, AZ 85381-5606
(516) 725-7481
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2788
PR
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us