Individual
MARY DENISE DENHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 CENTRAL ST STE 101, EVANSTON, IL 60201-1780
(847) 570-1260
(847) 733-5348
Mailing address
1000 CENTRAL ST STE 101, EVANSTON, IL 60201-1780
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
070005500
IL
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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