Organization
REBECCA MARANO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY MEGANCK APN (DIRECTOR)
(773) 484-4366
Entity
Organization
Contact information
Practice address
2875 W. 19TH STREET, CHICAGO, IL 60623
(773) 484-4366
Mailing address
2740 N PINE GROVE AVE APT 15A, CHICAGO, IL 60614-6616
(773) 858-5562
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209006158
IL
Other
Enumeration date
03/22/2007
Last updated
07/10/2008
Update your record
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