Individual
MS. MARIANNE GAGNON-KONAMNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1950 WEST POLK STREET, CHICAGO, IL 60612
(312) 864-0395
Mailing address
850 SAINT-DENIS ST, MONTREAL, QUEBEC H2X0A-9
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
09/28/2020
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