Constance A Marks in Joliet - Specialist

Constance A Marks - NPI 1831398445

Constance A Marks is a Specialist in Joliet, Illinois. Constance A Marks practices all healthcare services and medical treatments related to Specialist. The NPI Number for Constance A Marks is 1831398445. The last update date is 2023-11-30.

Constance A Marks's current location address is 1541 Riverboat Center Dr, Joliet, Illinois. You can contact this provider via phone number 8157413825 and fax number 8157413263. The mailing address for Constance A Marks is 1541 Riverboat Center Dr, Joliet, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Constance A Marks
Address 1541 Riverboat Center Dr, Joliet, Illinois
Phone Number 8157413825
Fax Number 8157413263
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1831398445
Provider Enumeration Date 2007-07-13
Last Updated Date 2023-11-30

Provider Mailing Address Detail

Address 1541 Riverboat Center Dr
City Joliet
State Illinois (IL)
Post Code 604319341
Phone Number 8157413825
Fax Number 8157413263

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 36079703
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36079703 IL STATE LICENSE #

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FAQs about Constance A Marks

What is the Constance A Marks's 1831398445?

The Constance A Marks's NPI (National Provider Identifier) Number is 1831398445. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Constance A Marks?

The Constance A Marks is situated at 1541 Riverboat Center Dr, in the city of Joliet, state of IL, with the zip code 604319341.

What is Constance A Marks's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Constance A Marks is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.

On what date did Constance A Marks receive its 1831398445 assignment from the Centers for Medicare & Medicaid Services?

The Constance A Marks was assigned its 1831398445 on 2007-07-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Constance A Marks's details last updated?

The information pertaining to the Constance A Marks, including its address, specialty, and other details, was most recently updated on 2023-11-30.

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