Javier, Marlu P

Javier, Marlu P is an sole proprietor health care provider with primary practice located at 6307 S Stewart Ave Suite 311, Chicago IL 60621-3116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Javier, Marlu P can be contacted via phone (773) 962-4635.

Contact Information

Primary practice address
6307 S Stewart Ave Suite 311 Chicago IL 60621-3116
Phone: (773) 962-4635
Fax: (773) 873-1043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036052495 Illinois

Profile Details

NPI number 1134186414
LBN Legal business name Javier, Marlu P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2006
Last updated Mar 3rd, 2017 - about 9 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 1134186414 NPPES
Illinois MEDICAID 036052495

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