Marshall, Wendy J

Marshall, Wendy J is an sole proprietor health care provider with primary practice located at 300 Barney Dr Suite A, Joliet IL 60435-5296. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Marshall, Wendy J can be contacted via phone (815) 744-0330.

Contact Information

Primary practice address
300 Barney Dr Suite A Joliet IL 60435-5296
Phone: (815) 744-0330
Fax: (815) 744-0445
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036075261 Illinois

Profile Details

NPI number 1578538492
LBN Legal business name Marshall, Wendy J
Credentials MD, FACS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2006
Last updated Aug 12th, 2008 - about 16 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 1578538492 NPPES
Illinois Other 69988 HEALTH ALLIANCE, URBANA
Illinois Other 9930030 HEALTH ALLIANCE, URBANA
Illinois MEDICAID 036075261 HEALTH ALLIANCE, URBANA
Illinois Other 4226783 HEALTH ALLIANCE, URBANA

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