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Individual
MRS. MARYANNETTE E NORA
Active
Individual
MRS. MARYANNETTE E NORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036081784
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036081784
—
IL
01
—
110040056
MEDICARE RAILROAD
IL
01
—
CF5018
MEDICARE RAILROAD
IL
Enumeration date
07/17/2006
Last updated
06/13/2011
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