NPI 1003061896

Marilyn Kay Spalla, MED

Practitioner Contractor Chicago, IL

Practice location

Address: 5259 S Nordica Ave, Chicago, IL 60638-1015
Phone: (773) 339-3876

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 2244762 ; 2359916 (IL)

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Registry record

NPI: 1003061896
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Nov 2008
Record last updated: 20 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.