Marks, Constance A
Marks, Constance A is an individual health care provider with primary practice located at 1541 Riverboat Center Dr , Joliet IL 60431-9341. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Marks, Constance A can be contacted via phone (815) 741-3825.Contact Information
Primary practice address
1541 Riverboat Center Dr
Joliet IL 60431-9341
Phone: (815) 741-3825
Fax: (815) 741-3263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036079703 | Illinois |
Profile Details
| NPI number | 1831398445 |
|---|---|
| LBN Legal business name | Marks, Constance A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Nov 30th, 2023 - about last year |
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 | 1831398445 | NPPES |
| Illinois | Other | 036079703 | STATE LICENSE # |
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