Provider Demographics
NPI:1538694997
Name:MARCH, EMILY ROSE
Entity type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:ROSE
Last Name:MARCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 EXECUTIVE DR
Mailing Address - Street 2:APARTMENT 401
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-2445
Mailing Address - Country:US
Mailing Address - Phone:330-697-2837
Mailing Address - Fax:
Practice Address - Street 1:800 W 5TH AVE STE 102A
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-4929
Practice Address - Country:US
Practice Address - Phone:630-548-0749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor