Mary L Marshall, APN | |
1340 Charles St, Suite 300, Rockford, IL 61104-2200 | |
(779) 696-5888 | |
Not Available |
Full Name | Mary L Marshall |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1340 Charles St, Rockford, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770030801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041343459 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209-014991 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
Osf Saint Paul Medical Center | Mendota, IL | Hospital |
Rochelle Community Hospital | Rochelle, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Mary L Marshall, APN Po Box 1567, Rockford, IL 61110-0067 Ph: () - | Mary L Marshall, APN 1340 Charles St, Suite 300, Rockford, IL 61104-2200 Ph: (779) 696-5888 |
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