Individual
DR. MARINA SMIRNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
819 BUSSE HWY, PARK RIDGE, IL 60068-2360
(847) 696-1570
Mailing address
11204 W KOHL AVE, LAKE BLUFF, IL 60044-1310
(847) 735-7276
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.124720
IL
2084P0805X
Geriatric Psychiatry Physician
036.124720
IL
Other
Enumeration date
07/01/2009
Last updated
09/21/2010
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