Individual
RAMONA C MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
885 ROOSEVELT RD, GLEN ELLYN, IL 60137-6141
(630) 653-4240
(630) 933-4581
Mailing address
885 ROOSEVELT RD, GLEN ELLYN, IL 60137-6141
(630) 653-4240
(630) 933-4581
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-076115
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02223000
BLUE CROSS BLUE SHIELD
IL
01
—
036076115
MEDICAID
IL
05
—
036076115
—
IL
01
—
206147
MEDICARE (GROUP) PTAN
IL
01
—
F400118979
MEDICARE (INDIVIDUAL) PTAN
IL
Enumeration date
08/31/2006
Last updated
06/10/2014
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