Klein-Gitelman, Marisa Sue
Klein-Gitelman, Marisa Sue is an individual health care provider with primary practice located at 2300 Childrens Plaza #50, Chicago IL 60614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rheumatology, which is considered as her primary health care specialty. Klein-Gitelman, Marisa Sue can be contacted via phone (773) 880-4360.Contact Information
Primary practice address
2300 Childrens Plaza #50
Chicago IL 60614
Phone: (773) 880-4360
Fax: (773) 880-4179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Rheumatology | 2080P0216X | 036089317 | Illinois |
Profile Details
| NPI number | 1336104348 |
|---|---|
| LBN Legal business name | Klein-Gitelman, Marisa Sue |
| Credentials | MD MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Sep 21st, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336104348 | NPPES |
| Illinois | MEDICAID | 036039317 |
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