MARLA E BASS

PARK RIDGE, IL
NPI1578533485
Former NameMARLA E GOLDSMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209-004700)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MN  R-184133-6)
Enumeration Date2006-01-24
Last Update Date2022-05-19
Business Address
MARLA E BASS DNP
1875 DEMPSTER ST STE 180
PARK RIDGE, IL 60068-1144
Phone number: 844-725-5238
Mailing Address
MARLA E BASS DNP
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900