Individual
JESSICA VILMA MARONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
240 E HURON ST, STE 1-200, CHICAGO, IL 60611-2909
(312) 503-7975
Mailing address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 503-7975
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
125075674
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2016
Last updated
06/19/2020
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