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Marlon Faulkner

NPI 1235447210 · on the registry since 2010 · sole proprietor

Practice

Address
6058 W Fullerton Ave
Chicago, IL 60639
Phone
(773) 828-6045
Fax
(773) 473-4104

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-09-23

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