1770027732 NPI number — MS. C. SUSANNE MARSHALL L.M.P.,M.M.P.

Table of content: JUSTIN DAVID CANFIELD (NPI 1407443278)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770027732 NPI number — MS. C. SUSANNE MARSHALL L.M.P.,M.M.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARSHALL
Provider First Name:
C.
Provider Middle Name:
SUSANNE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
L.M.P.,M.M.P.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770027732
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/10/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5100 N MARINE DR
Provider Second Line Business Mailing Address:
#7L
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60640-3274
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
815-666-4873
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5100 N MARINE DR
Provider Second Line Business Practice Location Address:
#7L
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60640-3274
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-620-6444
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/10/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  227007320 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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