MEDICARE: MS. ISABELA DOS SANTOS MARCHI M.ED., M.S.ED.

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
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1619099660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ISABELA DOS SANTOS MARCHI M.ED., M.S.ED.

Provider Business Mailing Address
First Line	:	1943 W SCHOOL ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-2034
Country	:	US
Telephone Number	:	305-338-4922
Fax Number	:

Provider Business Practice Location Address
First Line	:	4256 N RAVENSWOOD AVE STE 210
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-1114
Country	:	US
Telephone Number	:	305-338-4922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	08/12/2024

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