Kushner, Marla

Kushner, Marla is an sole proprietor health care provider with primary practice located at 2437 N Southport Ave , Chicago IL 60614-2060. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kushner, Marla can be contacted via phone (773) 244-9600.

Contact Information

Primary practice address
2437 N Southport Ave Chicago IL 60614-2060
Phone: (773) 244-9600
Fax: (773) 248-2348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 03675717 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036075717 Illinois

Profile Details

NPI number 1538119268
LBN Legal business name Kushner, Marla
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Dec 17th, 2021 - about 5 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 1538119268 NPPES
Illinois MEDICAID 036075717

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