| Marisa Luck, | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (888) 584-7888 | |
| Not Available |
| Full Name | Marisa Luck |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013619154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125.081766 (Illinois) | Secondary |
| 207N00000X | Dermatology | 125.081766 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marisa Luck, 3249 Oak Park Ave, Berwyn, IL 60402-3429 Ph: () - | Marisa Luck, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (888) 584-7888 |
Zisansha Zahirsha, Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4533 Fax: 708-216-5446 | |
Mathew Joseph, Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Lauren Moy, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
James Swan, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, (321 Lagrange Rd., Lagrande Park, Il.60526), Maywood, IL 60153 Phone: 708-485-1020 Fax: 708-485-1173 | |
Rachit Gupta, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Jenna Janiga Lullo, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Dr. Farinoosh Dadrass, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4962 |