Individual
MARCIA MATUSHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
333 N MADISON ST, JOLIET, IL 60435
(815) 725-6331
Mailing address
333 N MADISON ST, JOLIET, IL 60435
(815) 725-6331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-239358
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209-000814
IL
Other
Enumeration date
07/08/2006
Last updated
05/02/2016
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