Individual
MARYANN KANNAPPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8251 S RHODES AVE, CHICAGO, IL 60619-5005
(773) 818-9607
Mailing address
8251 S RHODES AVE, CHICAGO, IL 60619-5005
(773) 818-9607
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
149.009309
IL
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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