MARCUS A. BRENT (NPI# 1720543697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720543697 |
| Entity Type | Individual |
| Full Name | MARCUS A. BRENT |
| Credential | LMT |
| Practice Address |
263 N York St Ste 202 Elmhurst IL 60126-2758 |
| Mailing Address |
7452 Warren St Forest Park IL 60130-1506 |
| Practice Telephone | 3124686674 |
| Mailing Telephone | 7733702250 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255867503 | Marcus Brent | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2017-05-05 |
| Street Address |
263 N YORK ST STE 202 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-2758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332504 | Amanda M Ramirez | Massage Therapist | 360 W Butterfield Rd Ste 315, Elmhurst, IL 60126-5068 | 2020-06-30 |
| 1144864083 | Catherine A Jasien | Massage Therapist | 747 N Church Rd Ste G5, Elmhurst, IL 60126-1435 | 2019-11-04 |
| 1427464544 | Lauren Black | Massage Therapist | 197 S Monterey Ave, Elmhurst, IL 60126-3006 | 2014-07-09 |
| 1922398692 | Andrew Miller | Massage Therapist | 533 West North Ave., Suite 202, Elmhurst, IL 60126 | 2011-04-14 |
| 1740312727 | Janet Marie Schultz Mroz | Massage Therapist | 281 N Willow Rd, Elmhurst, IL 60126-2453 | 2007-03-12 |
| 1750768743 | Nicole Marie Robinson | Massage Therapist | 475 S Spring Rd, Elmhurst, IL 60126-3857 | 2015-04-29 |
| 1750780318 | Nancy Eliason | Massage Therapist | 475 S Spring Rd, Elmhurst, IL 60126-3857 | 2014-08-20 |
| 1770982258 | Agnieszka Dadej | Massage Therapist | 475 S Spring Rd, Elmhurst, IL 60126-3857 | 2014-08-20 |
| 1518366152 | June Holly Zackrison | Massage Therapist | 475 S Spring Rd, Elmhurst, IL 60126-3857 | 2014-08-20 |
| 1235406190 | Elliot Anderson | Massage Therapist | 8703 Grand Ave, Elmhurst, NY 11373-4416 | 2011-11-21 |
| Find all providers in ELMHURST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.