Marin, Thelma S
Marin, Thelma S is an individual health care provider with primary practice located at 7530 Woodward Ave Suite A, Woodridge IL 60517-3100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Marin, Thelma S can be contacted via phone (630) 910-1177.Contact Information
Primary practice address
7530 Woodward Ave Suite A
Woodridge IL 60517-3100
Phone: (630) 910-1177
Fax: (630) 910-4157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036089513 | Illinois |
Profile Details
| NPI number | 1588621601 |
|---|---|
| LBN Legal business name | Marin, Thelma S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Dec 30th, 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 | 1588621601 | NPPES |
| Illinois | Other | 2201574 | BLUECROSS BLUESHIELD |
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