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Individual

DR. MICHAEL THOMAS MARYNOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5354
(708) 684-1028
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-129670
IL
207P00000X
Emergency Medicine Physician
OS015238
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1024836330001
PA
Enumeration date
09/11/2008
Last updated
01/30/2025
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