Individual
MARIAM ANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045-1658
(847) 535-7647
(847) 535-7151
Mailing address
1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 60045-1658
(847) 535-7647
(847) 535-7151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.126029
OH
207RP1001X
Pulmonary Disease Physician
Primary
036142926
IL
Other
Enumeration date
04/11/2012
Last updated
10/28/2021
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