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NPI Code Detail

MEDICARE: ERICKA MICHELLE MAREK FNP-C

MEDICARE: ERICKA MICHELLE MAREK FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209032000IL

General Provider Information

NPI Number : 1215739040
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICKA MICHELLE MAREK FNP-C
Provider Business Mailing Address
First Line : 40 75TH ST
Second Line :
City : WILLOWBROOK
State : IL
Zip : 60527-2325
Country : US
Telephone Number : 708-502-1997
Fax Number :
Provider Business Practice Location Address
First Line : 40 75TH ST
Second Line :
City : WILLOWBROOK
State : IL
Zip : 60527-2325
Country : US
Telephone Number : 630-581-5372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2025
Last Update Date : 03/04/2026

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Directions to “ ERICKA MICHELLE MAREK FNP-C” Practice Location

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