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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARVETTA BACHUS, REGISTERED NURSE

Active Sole Proprietor

MARVETTA BACHUS, REGISTERED NURSE is a Registered Nurse healthcare provider located in LYNWOOD, Illinois. NPI 1811401581 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · LYNWOOD, IL

Registration Details

NPI Number
1811401581
Provider Type
Individual
Gender
Female
NPI Issued
Nov 16, 2017 (8.7072676456019 yrs)
Last Updated
Nov 16, 2017
Licenses
041.4355332 (IL)
041.4355332 (IL)
041.4355332 (IL)
041.4355332 (IL)
041.4355332 (IL)
Sole Proprietor
Yes

Practice Information

Address
19721 LAKE PARK DR
LYNWOOD, IL, 604111556
Browse IL providers · Browse ZIP 60411
Phone
7739792529
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
163WM1400X
Additional Specialty
Pediatric Nurse
Additional Specialty
Plastic Surgery Nurse
Additional Specialty
Registered Nurse

Other Registered Nurse Providers in LYNWOOD, IL

Name Credential NPI
MRS. KEITTA L BRYANT RN 1457472763
DEMAR JOHNSON 1376191007
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.