Individual
MISS TAMARA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10150 S LONGWOOD DR, CHICAGO, IL 60643-2057
(773) 350-1101
Mailing address
10150 S LONGWOOD DR, CHICAGO, IL 60643-2057
(773) 350-1101
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-096367
IL
Other
Enumeration date
10/24/2006
Last updated
04/21/2020
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