Wayne, Marissa Dawn

Wayne, Marissa Dawn is an individual health care provider with primary practice located at 1611 W Harrison St , Chicago IL 60612-4861. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Wayne, Marissa Dawn can be contacted via phone (815) 576-2046.

Contact Information

Primary practice address
1611 W Harrison St Chicago IL 60612-4861
Phone: (815) 576-2046
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X

Profile Details

NPI number 1942040183
LBN Legal business name Wayne, Marissa Dawn
Credentials OTD
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2024
Last updated May 27th, 2024 - 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.

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