Individual
MARILYN MATTOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15709 ELLIS AVE, DOLTON, IL 60419-2718
(708) 841-7746
(708) 841-0381
Mailing address
15709 ELLIS AVE, DOLTON, IL 60419-2718
(708) 841-7746
(708) 841-0381
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
—
IL
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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