Individual
MS. MARIANNE KWIATKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
850 W 63D STREET, CHICAGO, IL 60621
(773) 377-7304
(773) 634-7965
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209.001854
IL
Other
Enumeration date
07/14/2006
Last updated
06/06/2025
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