Individual
MARCY KAMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1885 SHERMER RD, NORTHBROOK, IL 60062-5317
(847) 272-4600
(847) 272-4655
Mailing address
1885 SHERMER RD, NORTHBROOK, IL 60062-5317
(847) 272-4600
(847) 272-4655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036082892
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036082892
STATE LICENSE
IL
Enumeration date
07/15/2005
Last updated
10/13/2020
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