Individual
KATHLEEN MARIE MARIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
431 W LIBERTY ST, WAUCONDA, IL 60084-2452
(847) 526-2151
(847) 526-2017
Mailing address
431 W LIBERTY ST, WAUCONDA, IL 60084-2452
(847) 526-2151
(847) 526-2017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
085-002560
IL
Other
Enumeration date
11/14/2006
Last updated
04/02/2012
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