Individual
MARILYN E MACKOWIAK LINDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC-ANP
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-1000
Mailing address
1570 ASBURY AVE, EVANSTON, IL 60201-4173
(847) 869-0698
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209-002173
IL
363LA2200X
Adult Health Nurse Practitioner
41-136229
IL
Other
Enumeration date
10/31/2006
Last updated
12/19/2012
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