| Doctor Name: | MARCIA B MARSHALL |
| NPI Number: | 1780943639 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 041136944 |
| Business Practice Address: | 217 Riverside Dr Dolton, IL - 604191430 |
| Business Phone Number: | 7088498223 |
| Business Fax Number: | 7088498253 |
| Mailing Address: | 217 Riverside Dr, DOLTON |
| State: | IL |
| Postal Code: | 604191430 |
| Phone Number: | 7088498223 |
| Fax Number: | 7088498253 |
| NPI Enumeration Date: | 05/14/2012 |
| NPI Last Update Date: | 05/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WN1003X |
| License Number: | 041136944 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Nutrition Support |
| Taxonomy Definition: | |