DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TETYANA MARSHALL MD

MEDICARE: TETYANA MARSHALL MD
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
1207L00000XAnesthesiology Physician036.173099IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1659115-011-00001OTHERAETNA

General Provider Information

NPI Number : 1447886528
Entity Type Code : Individual
Provider Name (Legal Business Name) : TETYANA MARSHALL MD
Provider Business Mailing Address
First Line : 150 HARVESTER DR STE 300
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-5965
Country : US
Telephone Number : 888-824-0200
Fax Number :
Provider Business Practice Location Address
First Line : 5841 S MARYLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-1443
Country : US
Telephone Number : 773-834-3531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2020
Last Update Date : 02/16/2026

Similar Medicare Providers

1174685622 — SANGEETA BHORADE MD
Practice Location Address:
5841 S MARYLAND AVE
CHICAGO, IL
60637-1443
Practice Phone: 888-824-0200
Practice Fax:
1750060398 — KENDALL GINA CHRISTENSON RN
Practice Location Address:
5841 S MARYLAND AVE
CHICAGO, IL
60637-1443
Practice Phone: 888-824-0200
Practice Fax:
1396432027 — JAKE SCHAFFER PA-C
Practice Location Address:
5841 S MARYLAND AVE
CHICAGO, IL
60637-1443
Practice Phone: 888-824-0200
Practice Fax:
1952540460 — DR. KIMBERLY SHARON COLE M.D.
Practice Location Address:
5841 S MARYLAND AVE
CHICAGO, IL
60637-1443
Practice Phone: 888-824-0200
Practice Fax:
1326783515 — ABHINAV K REDDY MD
Practice Location Address:
5841 S MARYLAND AVE # MC3026
CHICAGO, IL
60637-1443
Practice Phone: 773-702-2123
Practice Fax:
1124414669 — YOURONG SOPHIE SU MD
Practice Location Address:
5841 S MARYLAND AVE
CHICAGO, IL
60637-1443
Practice Phone: 888-824-0200
Practice Fax:

Directions to “ TETYANA MARSHALL MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.