Mikat Stevens, Marianne
Mikat Stevens, Marianne is an individual health care provider with primary practice located at 2160 S 1St Ave (Bldg. 103, Rm. 3102), Maywood IL 60153-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mikat Stevens, Marianne can be contacted via phone (708) 216-6462.Contact Information
Primary practice address
2160 S 1St Ave (Bldg. 103, Rm. 3102)
Maywood IL 60153-3328
Phone: (708) 216-6462
Fax: (708) 216-1249
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 36088181 | Illinois |
Profile Details
| NPI number | 1598735904 |
|---|---|
| LBN Legal business name | Mikat Stevens, Marianne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jan 6th, 2010 - 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 | 1598735904 | NPPES |
| Illinois | Other | K04518 | MEDICARE |
| Illinois | MEDICAID | 36088181 | MEDICARE |
Popular Providers
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