Marlene David, CRANIALPROSTHESES
Marlene David, CRANIALPROSTHESES is a Prosthetic/Orthotic Supplier in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2025
Practice location Address checks out
2618 N Halsted StChicago, IL 60614-2302
Phone: (312) 523-8270
Fax: (312) 523-8270
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Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X · Licence 4XJPICXOHO (IL) |
|---|
Record details
| NPI number | 1376346700 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CRANIALPROSTHESES |
| Sole proprietor | Yes |
| NPI enumerated | March 31, 2025 |
| Last updated in NPPES | March 31, 2025 |
| Certification date | March 27, 2025 |
| Mailing address | 1400 S Michigan Ave Apt 1607, Chicago, IL 60605-3723 |
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