Provider Demographics
NPI:1609243872
Name:MARRERO, MARIA (APN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:MARRERO
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1S132 SUMMIT AVE
Mailing Address - Street 2:SUITE 105E
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3955
Mailing Address - Country:US
Mailing Address - Phone:630-705-1342
Mailing Address - Fax:708-995-8785
Practice Address - Street 1:1S132 SUMMIT AVE
Practice Address - Street 2:SUITE 105E
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3955
Practice Address - Country:US
Practice Address - Phone:630-705-1342
Practice Address - Fax:708-995-8785
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.013036363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily