Individual
BRIGID M. MARIETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-1900
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-6190
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
209019879
IL
Other
Enumeration date
11/13/2019
Last updated
04/24/2023
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