Individual
DR. ELLEN MARIE MARKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
676 N SAINT CLAIR ST, SUITE#1785, CHICAGO, IL 60611
(312) 867-0331
Mailing address
676 N SAINT CLAIR ST, SUITE#1785, CHICAGO, IL 60611-2927
(312) 867-0331
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-99512
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-3377504
FEIN
IL
Enumeration date
05/25/2007
Last updated
05/17/2018
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