Provider Demographics
NPI:1982418836
Name:MARCHEV, MARLENA MONIKA
Entity type:Individual
Prefix:
First Name:MARLENA
Middle Name:MONIKA
Last Name:MARCHEV
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20600 N WILLIAM AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-9604
Mailing Address - Country:US
Mailing Address - Phone:224-688-5377
Mailing Address - Fax:
Practice Address - Street 1:70 E BUSSE AVE
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-3215
Practice Address - Country:US
Practice Address - Phone:847-749-4408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209031182363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily