Individual
STEPHANIE LYNN MARYNUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1448 N MILWAUKEE AVE FL 3, CHICAGO, IL 60622-9225
(815) 343-1263
Mailing address
2814 7TH ST, PERU, IL 61354-2430
(815) 343-1263
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001325
IL
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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