Individual
NADIIA MARENYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
146 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(262) 249-5000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.151695
IL
207R00000X
Internal Medicine Physician
125070812
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
23048-875
WI
208M00000X
Hospitalist Physician
036.151695
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100214900
—
WI
Enumeration date
06/07/2017
Last updated
12/29/2025
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