Provider Demographics
NPI:1215200530
Name:MARLATT, APRIL M (ATC)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:M
Last Name:MARLATT
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 CHERRY LN
Mailing Address - Street 2:APT 405
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-1173
Mailing Address - Country:US
Mailing Address - Phone:847-609-6949
Mailing Address - Fax:
Practice Address - Street 1:2200 CHERRY LN
Practice Address - Street 2:APT 405
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-1173
Practice Address - Country:US
Practice Address - Phone:847-609-6949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL096.003019174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator