DR. Charles J Marcuccilli, MD

NPI #1801849559 in Burr Ridge, Illinois

Provider Information

NPI Number: 1801849559
Entity Type: Individual
Name: DR. Charles J Marcuccilli, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology
Credential: MD
Enumeration Date: May 17, 2006
Last Updated: Sep 19, 2024

Practice Location

Address: 180 HARVESTER DR
Address 2: SUITE 110
City: Burr Ridge
State: Illinois
ZIP Code: 60527-7594
Phone: (773) 702-1150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology — Neurology with Special Qualifications in Child Neurology	2084N0402X	Primary
Pediatrics - Neurodevelopmental Disabilities — Neurodevelopmental Disabilities	2080P0008X

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