SearchIllinois101YP2500X

Marcella Blum

NPI 1184135501 · on the registry since 2017

Practice

Address
1526 W Thome Ave Apt 2
Chicago, IL 60660
Phone
(404) 374-1307

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-10-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois