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Search › Illinois › 1041C0700X

Marvin Merriweather

NPI 1861014326 · on the registry since 2020 · sole proprietor

Practice

Address
520 N 4th St
Springfield, IL 62702
Phone
(217) 545-8000
Organisation at this address
Board Of Trustees Of Southern Illinois University
Board Of Trustees Of Southern Illinois University
Board Of Trustees Of Southern Illinois University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
144

Additional practice sites

  • 2236 E Keys Ave, Springfield, IL
  • 510 E Apple Orchard Rd Ste 103, Springfield, IL

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-10

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