Dr MARIELLEN PATRICIA ANTMAN NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2003.
NORTHWESTERN MEDICAL FACULTY FOUNDATION
350 S WAUKEGAN RD
DEERFIELD
IL
600155239
Tel: 3129266146
| Npi | 1235271941 |
| Pac Id | 5890754741 |
| Professional Enrollment Id | I20041006000697 |
| Last Name | ANTMAN |
| First Name | MARIELLEN |
| Middle Name | PATRICIA |
| Suffix | |
| Gender | F |
| Credential | NP |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | NORTHWESTERN MEDICAL FACULTY FOUNDATION |
| Group Practice Pac Id | 4587576814 |
| Number Of Group Practice Members | 2075 |
| Line 1 Street Address | 350 S WAUKEGAN RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | DEERFIELD |
| State | IL |
| Zip Code | 600155239 |
| Phone Number | 3129266146 |
| Hospital Affiliation Ccn 1 | 140258 |
| Hospital Affiliation Lbn 1 | ALEXIAN BROTHERS MEDICAL CENTER 1 |
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| Professional Accepts Medicare Assignment | Y |
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