Individual
JENNIFER DAWN GOSHA MARQUARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
908 W ARMITAGE AVE, CHICAGO, IL 60614-4204
(773) 857-1001
Mailing address
908 W ARMITAGE AVE, CHICAGO, IL 60614-4204
(773) 857-1001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041498949
IL
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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