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Individual

MS. C. SUSANNE MARSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.P.,M.M.P.

Contact information

Practice address
5100 N MARINE DR, #7L, CHICAGO, IL 60640-3274
(773) 620-6444
Mailing address
5100 N MARINE DR, #7L, CHICAGO, IL 60640-3274
(815) 666-4873

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227007320
IL

Other

Enumeration date
12/10/2016
Last updated
12/10/2016
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