NPI 1013619154

Marisa Luck

Practitioner Dermatology Physician Maywood, IL

Practice location

Address: 2160 S 1st Ave, Maywood, IL 60153-3328
Phone: (888) 584-7888
Mailing address: 3249 Oak Park Ave, Berwyn, IL 60402-3429

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 125.081766 (IL)

Other Dermatology providers in Illinois →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 125.081766 (IL)

Other Internal Medicine providers in Illinois →

Registry record

NPI: 1013619154
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2023
Record last updated: 22 May 2024

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.