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Jaclyn Rose Marzullo
Student in an Organized Health Care Education/Training Program in Melrose Park, Illinois
NPI 1194075408

Jaclyn Rose Marzullo is a Student in an Organized Health Care Education/Training Program based in Melrose Park, IL. Jaclyn Rose Marzullo practices in Melrose Park, IL. The NPI Number for Jaclyn Rose Marzullo is 1194075408 and holds a License No. (Illinois).

The current practice location address for Jaclyn Rose Marzullo is 1414 Main St, Melrose Park, IL and can be reached out via phone at 708-681-0073.

Location: 1414 Main St, Melrose Park, IL, 60160-3902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194075408
Provider Name
Jaclyn Rose Marzullo
Credential
Provider Entity Type
Individual
Gender
Female
Address
1414 Main St, Melrose Park, IL, 60160-3902
Phone Number
708-681-0073
Fax Number
Provider Enumeration Date
09/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1414 Main St
City
Melrose Park
State
Illinois
Zip
60160-3902
Phone Number
708-681-0073
Fax Number
person
Provider Business Mailing Address Details
Address
1414 Main St
City
Melrose Park
State
Illinois
Zip
60160-3902
Phone Number
708-681-0073
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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