Most Relevant Information
Provider Data
| NPI Number: | 1003802281 |
| Provider Name: | MERRIE VISCARRA DO |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 036113267 |
Most Important Dates
| Enumeration Date: | 09/23/2005 |
| Last Updated: | 10/09/2018 |
Provider Practice Location
1530 N RANDALL RD STE 210
ELGIN
IL
601237879
Practice Location Phone/Fax
| Phone: | 2247607322 |
| Fax: | 2245358252 |
Provider Mailing Location
6400 INDUSTRIAL LOOP
GREENDALE
WI
531292452
Provider Mailing Phone/Fax
| Phone: | 4148584106 |
| Fax: | 4144234134 |