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Stanislav Maravilla, MPT
NPI 1740717479 · on the registry since 2017
Practice
- Address
- 2723 Sheridan Rd
Suite D
Zion, IL 60099 - Phone
- (847) 794-4532
- Fax
- (847) 794-4533
- Organisation at this address
- Athletico, Ltd.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-12
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