Individual
JAHNEAN MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
648 N ARMOUR ST, CHICAGO, IL 60642-6108
(847) 312-0690
Mailing address
648 N ARMOUR ST, CHICAGO, IL 60642-6108
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/09/2010
Last updated
05/09/2010
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