Larsen, Marianne B

Larsen, Marianne B is an individual health care provider with primary practice located at 2300 Childrens Plaza Box 51, Chicago IL 60614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Larsen, Marianne B can be contacted via phone (773) 880-4352.

Contact Information

Primary practice address
2300 Childrens Plaza Box 51 Chicago IL 60614
Phone: (773) 880-4352
Fax: (773) 880-3374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 036042065 Illinois

Profile Details

NPI number 1518926450
LBN Legal business name Larsen, Marianne B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Sep 23rd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518926450 NPPES
Illinois MEDICAID 036042065

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