Individual
DR. MARJEAN E. EASTMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3000
Mailing address
40 SHUMAN BLVD, SUITE 275, NAPERVILLE, IL 60563-8446
(630) 868-2200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036109812
IL
208VP0014X
Interventional Pain Medicine Physician
036109812
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109812
—
IL
Enumeration date
07/27/2006
Last updated
07/20/2016
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