Search › Illinois › 163W00000X
Marvetta Bachus, REGISTERED NURSE
NPI 1811401581 · on the registry since 2017 · sole proprietor
Practice
- Address
- 19721 Lake Park Dr
Lynwood, IL 60411 - Phone
- (773) 979-2529
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 163WI0500X
163WM1400X
163WP0200X
163WS0121X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-11-16
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