Individual
MARA DINSMOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2860
(847) 570-2910
Mailing address
2650 RIDGE AVE, WALGREEN BUILDING SUITE 1507, EVANSTON, IL 60201-1718
(847) 570-1206
(847) 570-1248
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
036103756
IL
Other
Enumeration date
07/11/2006
Last updated
05/05/2011
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