Individual
MARILYNN MAIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007
(847) 981-3630
Mailing address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3397
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
309008970
IL
364S00000X
Clinical Nurse Specialist
Primary
209005808
IL
Other
Enumeration date
11/24/2015
Last updated
03/23/2021
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