Individual
MARTHA B SEVENICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 503-7975
Mailing address
RESURRECTION MEDICAL EDUCATION, KAREN DWULAT, 7435 W. TALCOTT AVENUE, CHICAGO, IL 60631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036172855
IL
2085R0202X
Diagnostic Radiology Physician
Primary
125076139
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
05/22/2025
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