Foss, Marisa J.

Foss, Marisa J. is an sole proprietor health care provider with primary practice located at 2211 N. Oak Park Avenue , Chicago IL 60707-3392. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Foss, Marisa J. can be contacted via phone (773) 385-5597.

Contact Information

Primary practice address
2211 N. Oak Park Avenue Chicago IL 60707-3392
Phone: (773) 385-5597
Fax: (773) 385-5488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209006647 Illinois

Profile Details

NPI number 1093962375
LBN Legal business name Foss, Marisa J.
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2008
Last updated Mar 25th, 2011 - about 14 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 1093962375 NPPES
Illinois Other 209006647 STATE LICENSE

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