Individual
DR. MARIE MYRLANDE KERNIZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9625 S COLFAX AVE, CHICAGO, IL 60617-4900
(773) 483-8400
Mailing address
8349 S BALTIMORE AVE, CHICAGO, IL 60617-2110
(773) 978-5291
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036099858
IL
Other
Enumeration date
07/25/2007
Last updated
08/03/2007
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