Individual
MARLENE VARNAVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1600 DEMPSTER ST STE 120, PARK RIDGE, IL 60068-1171
(847) 299-7888
Mailing address
6406 N KILBOURN AVE, LINCOLNWOOD, IL 60712-3435
(734) 264-7457
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209024458
IL
363L00000X
Nurse Practitioner
F10210892
IL
Other
Enumeration date
01/18/2022
Last updated
01/20/2022
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