Individual
MARA MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2157 N DAMEN AVE, SUITE 2C, CHICAGO, IL 60647-6916
(773) 278-4769
Mailing address
420 E WATERSIDE DR, #308, CHICAGO, IL 60601-8001
(956) 661-0475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056004837
IL
Other
Enumeration date
10/20/2009
Last updated
04/07/2014
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