Merin, Elsa Marquez
Merin, Elsa Marquez is an sole proprietor health care provider with primary practice located at 7435 W. Madison St. , Forest Park, IL 60130-1542. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Merin, Elsa Marquez can be contacted via phone (708) 771-0250.Contact Information
Primary practice address
7435 W. Madison St.
Forest Park, IL 60130-1542
Phone: (708) 771-0250
Fax: (708) 771-0686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Illinois |
Profile Details
| NPI number | 1952494361 |
|---|---|
| LBN Legal business name | Merin, Elsa Marquez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1952494361 | NPPES |
| Illinois | Other | 21605310 | BLUE CROSS ID# |
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