Individual
MARILYN PINA STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5031 S LAPORTE AVE, CHICAGO, IL 60638-2107
(773) 633-5501
Mailing address
5031 S LAPORTE AVE, CHICAGO, IL 60638-2107
(773) 633-5501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.471689
IL
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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