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General NPI Number Information
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NPI Number | 1881148898
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Entity Type | Individual
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Provider Name | MARISSA DRONEN DPT
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Gender | Female
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Dates
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Enumeration Date | 08/08/2016
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 275 YORK RD SUITE 300
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City | ELMHURST
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State | IL
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Zip | 60126
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Country | US
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Telephone | 630-279-4852
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Fax |
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Provider Business Mailing Address
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Address Line | 732 CRESCENT BLVD
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City | GLEN ELLYN
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State | IL
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Zip | 60137-4208
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Country | US
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Telephone | 815-535-7535
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070-022861
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2016027658
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License Number State | MO
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