Search › Illinois › 2255A2300X
Mariellen Mardis, MAT
NPI 1700450665 · on the registry since 2021
Practice
- Address
- 30019 N Waukegan Rd Apt 103
Lake Bluff, IL 60044 - Phone
- (618) 980-0482
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-16
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