Individual
DR. MARJORIE GINOU MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17850 KEDZIE AVE STE 3500, HAZEL CREST, IL 60429-2082
(708) 575-4415
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036119483
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036119483
IL. PHYSICIAN LICENSE
IL
05
—
036119483
—
IL
01
—
336080921
IL. CONTROL SUB. LICENSE
IL
Enumeration date
12/03/2007
Last updated
04/29/2022
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