Maranon, Maria Louisa B.

Maranon, Maria Louisa B. is an individual health care provider with primary practice located at 1801 Windsor Rd , Champaign IL 61822-6217. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Maranon, Maria Louisa B. can be contacted via phone (217) 366-1257.

Contact Information

Primary practice address
1801 Windsor Rd Champaign IL 61822-6217
Phone: (217) 366-1257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-102283 Illinois

Profile Details

NPI number 1588674105
LBN Legal business name Maranon, Maria Louisa B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jan 5th, 2022 - about 3 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 1588674105 NPPES
Illinois MEDICAID 036102283 1
Illinois Other 279500
Illinois Other 370019184

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