Individual
CHAD R MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-8818
(309) 624-8820
Mailing address
526 COTTONWOOD CIR, EAST PEORIA, IL 61611-4008
(325) 829-9688
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036165717
IL
208000000X
Pediatrics Physician
94-10214
KS
Other
Enumeration date
05/13/2020
Last updated
01/08/2026
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