Individual
MARY MARLENE HOLMSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, WHNP-BC
Contact information
Practice address
111 W JACKSON BLVD STE 1700, CHICAGO, IL 60604-3597
(888) 731-8994
(833) 775-1861
Mailing address
111 W JACKSON BLVD STE 1700, CHICAGO, IL 60604-3597
(888) 731-8994
(833) 775-1861
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209.026895
IL
Other
Enumeration date
10/25/2021
Last updated
08/18/2025
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