Individual
MARISA NICOLE AGRITELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-3055
(312) 926-2000
Mailing address
251 E HURON ST, CHICAGO, IL 60611-3055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125079440
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2022
Last updated
08/14/2024
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