Individual
RICHARD MARBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-6080
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(800) 543-7365
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
036.114644
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036114644
STATE LICENSE
IL
Enumeration date
09/12/2005
Last updated
05/22/2020
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