Mccollough, Marketta

Mccollough, Marketta is an individual health care provider with primary practice located at 9932 S Western Ave , Chicago IL 60643-1831. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Nursing Service Providers / Rehabilitation, Other Service Providers / Community Health Worker, Nursing Service Providers / Home Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Community Health is her primary health care specialty. Mccollough, Marketta can be contacted via phone (312) 868-0004.

Contact Information

Primary practice address
9932 S Western Ave Chicago IL 60643-1831
Phone: (312) 868-0004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 2023-N1952 Illinois
Nursing Service Providers / Rehabilitation 163WR0400X 2023-N1952 Illinois
Other Service Providers / Community Health Worker 172V00000X
Nursing Service Providers / Home Health 163WH0200X 2023-N1952 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 2023-N1952 Illinois

Profile Details

NPI number 1407517121
LBN Legal business name Mccollough, Marketta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2022
Last updated Jun 30th, 2023 - about 3 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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