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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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