Mariellen Patricia Antman in Chicago - Adult Health
Mariellen Patricia Antman - NPI 1235271941
Mariellen Patricia Antman is a Adult Health in Chicago, Illinois. Mariellen Patricia Antman practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Mariellen Patricia Antman is 1235271941. The last update date is 2016-10-13.
Mariellen Patricia Antman's current location address is 251 E Huron St, Chicago, Illinois. You can contact this provider via phone number 8477358550 and fax number 8475358590. The mailing address for Mariellen Patricia Antman is 251 E Huron St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mariellen Patricia Antman |
|---|---|
| Address | 251 E Huron St, Chicago, Illinois |
| Phone Number | 8477358550 |
| Fax Number | 8475358590 |
| Sole Proprietor | N |
| Credentials | APN-CNP |
NPI Number Detail
| NPI Number | 1235271941 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2016-10-13 |
Provider Mailing Address Detail
| Address | 251 E Huron St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606112908 |
| Phone Number | 8477358550 |
| Fax Number | 8475358590 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 209.005116 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| IL6304003 | IL | MEDICARE PTAN LOC 16 | |
| IL6305003 | IL | MEDICARE PTAN LOC 15 | |
| 1720371669 | IL | NPI GROUP PRACTICE | |
| P01058711 | IL | RRMC PTAN |
Post Comment/ Review Below
What is the Mariellen Patricia Antman's 1235271941?
The Mariellen Patricia Antman's NPI (National Provider Identifier) Number is 1235271941. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mariellen Patricia Antman is geographically located?
The Mariellen Patricia Antman is physically situated at the following location: 251 E Huron St, Chicago, IL, 606112908.
What is the Mariellen Patricia Antman's specialty and taxonomy code?
The Mariellen Patricia Antman's specialty is Adult Health, and the corresponding taxonomy code is 363La2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235271941 to Mariellen Patricia Antman?
The Centers for Medicare & Medicaid Services originally issued the 1235271941 to Mariellen Patricia Antman on 2007-02-12.
When was the information pertaining to Mariellen Patricia Antman most recently updated or revised?
The details related to Mariellen Patricia Antman, including its address, specialty, and other relevant information, were last updated or revised on 2016-10-13.