Individual
DONNA MARIE ECONOMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
727 GRAND AVE, INGLESIDE, IL 60041-9748
(847) 973-9640
(847) 973-9639
Mailing address
727 GRAND AVE, INGLESIDE, IL 60041-9748
(847) 973-9640
(847) 973-9639
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036097697
IL
Other
Enumeration date
04/18/2007
Last updated
02/16/2010
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