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Individual

MARIAN TENTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
676 N SAINT CLAIR ST, SUITE 850, CHICAGO, IL 60611-2927
(312) 695-4124
(312) 695-6189
Mailing address
676 N SAINT CLAIR ST, SUITE 850, CHICAGO, IL 60611-2927
(312) 695-4124
(312) 695-6189

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209011320
IL

Other

Enumeration date
03/06/2014
Last updated
03/06/2014
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