Individual provider · Type 1 NPI
Marisa Anne Dicker, FNP
Family Nurse Practitioner · Chicago, IL
NPI number
1063369775
Active
Practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209033535 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1063369775
Marisa Anne Dicker, FNP's National Provider Identifier is 1063369775, issued on Mar 12, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Jul 6, 2026.