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Ms. Marisa J. Foss I, CNP
Pediatric Nurse Practitioner in Chicago, Illinois
NPI 1093962375

Marisa J. Foss I is a Pediatric Nurse Practitioner based in Dallas, IL and is specialized in Pediatrics. Marisa J. Foss I practices in Chicago, IL and has the professional credentials of CNP. The NPI Number for Marisa J. Foss I is 1093962375 and holds a License No. 209006647 (Illinois).

The current practice location address for Marisa J. Foss I is 2211 N. Oak Park Avenue, Chicago, IL and can be reached out via phone at 773-385-5597 and via fax at 773-385-5488.

Location: 2211 N. Oak Park Avenue, Chicago, IL, 75320-9013
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Provider Profile Details
NPI Number
1093962375
Provider Name
Marisa J. Foss I
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
2211 N. Oak Park Avenue, Chicago, IL, 75320-9013
Phone Number
773-385-5597
Fax Number
773-385-5488
Provider Enumeration Date
08/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209006647 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2211 N. Oak Park Avenue
City
State
Zip
60707-3392
Phone Number
773-385-5597
Fax Number
773-385-5488
person
Provider Business Mailing Address Details
Address
2211 N. Oak Park Avenue
City
State
Zip
60707-3392
Phone Number
773-385-5597
Fax Number
773-385-5488
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
209006647 (Illinois)
Definition
Definition to come...
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