Hartzen, Marla
Hartzen, Marla is an individual health care provider with primary practice located at 1875 Dempster St Suite 470, Park Ridge IL 60068-1186. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Hartzen, Marla can be contacted via phone (847) 723-5880.Contact Information
Primary practice address
1875 Dempster St Suite 470
Park Ridge IL 60068-1186
Phone: (847) 723-5880
Fax: (847) 723-5882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036-086750 | Illinois |
Profile Details
| NPI number | 1356352447 |
|---|---|
| LBN Legal business name | Hartzen, Marla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Dec 21st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356352447 | NPPES |
| Illinois | MEDICAID | 036086750 |
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