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Marissa Martin
NPI 1184571622 · on the registry since 2026
Practice
- Address
- 5417 Bennett St Apt 3
Loves Park, IL 61111 - Phone
- (815) 510-2946
Additional practice sites
- 1950 W Roscoe St, Chicago, IL
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Sex
- Female
- Record last updated
- 2026-03-13
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