Individual
MARICEL KINNAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4944 WESTERN AVE, DOWNERS GROVE, IL 60515-3240
(773) 414-0160
Mailing address
4944 WESTERN AVE, DOWNERS GROVE, IL 60515-3240
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
09/15/2017
Last updated
07/21/2022
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