Individual
JUDITH A. MRVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
251 E HURON ST, GALTER PAVILION 8-118/ NUCLEAR MEDICINE DEPT, CHICAGO, IL 60611-2908
(312) 926-0417
Mailing address
251 E HURON ST, GALTER PAVILION 8-118/ NUCLEAR MEDICINE DEPT, CHICAGO, IL 60611-2908
(312) 926-0417
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-000317
IL
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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