Individual
DR. REVITAL MICHELLE MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9650 GROSS POINT RD. SUITE 3900, SKOKIE, IL 60076
(847) 570-2570
(847) 933-3520
Mailing address
9650 GROSS POINT RD. SUITE 3900, SKOKIE, IL 60076-1380
(847) 570-2570
(847) 933-3520
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036131122
IL
2084N0600X
Clinical Neurophysiology Physician
036131122
IL
Other
Enumeration date
06/22/2011
Last updated
11/27/2018
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