Marketta McCollough
Marketta McCollough is a Community Health Registered Nurse in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
- Specialties on file
- 5
Practice location Address checks out
9932 S Western AveChicago, IL 60643-1831
Phone: (312) 868-0004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Registered Nurse (primary) | Taxonomy 163WC1500X · Licence 2023-N1952 (IL) |
|---|---|
| Rehabilitation Registered Nurse | Taxonomy 163WR0400X · Licence 2023-N1952 (IL) |
| Community Health Worker | Taxonomy 172V00000X |
| Home Health Registered Nurse | Taxonomy 163WH0200X · Licence 2023-N1952 (IL) |
| Registered Nurse | Taxonomy 163W00000X · Licence 2023-N1952 (IL) |
Record details
| NPI number | 1407517121 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 5, 2022 |
| Last updated in NPPES | June 30, 2023 |
| Certification date | June 30, 2023 |
| Mailing address | 500 Park Ave Apt 627, Calumet City, IL 60409-5034 |
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