Chambers, Marie

Chambers, Marie is an sole proprietor health care provider with primary practice located at 140 N Ashland Ave , Chicago IL 60607. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Chambers, Marie can be contacted via phone (312) 633-4977.

Contact Information

Primary practice address
140 N Ashland Ave Chicago IL 60607
Phone: (312) 633-4977
Fax: (312) 850-9095
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 041145393 Illinois

Profile Details

NPI number 1649813080
LBN Legal business name Chambers, Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2019
Last updated Oct 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649813080 NPPES
Illinois MEDICAID 041145393

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