Individual
MARIANNE EVE WALWEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 E HURON STREET, SUITE 1-200, NORTHWESTERN MEDICINE MCGAW MEDICAL CENTER, CHICAGO, IL 60611
(312) 503-7975
Mailing address
5496 S HYDE PARK BLVD, APT 908, CHICAGO, IL 60615-5831
(305) 431-4594
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/09/2015
Last updated
05/25/2016
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