Search › Illinois › 363LA2200X
Mariellen Antman, APN-CNP
NPI 1235271941 · on the registry since 2007
Practice
- Address
- 800 N Westmoreland Rd
Suite 205
Lake Forest, IL 60045 - Phone
- (847) 735-8550
- Fax
- (847) 535-8590
- Organisation at this address
- David Vigder Md Sc
Surgeons Group, S.C.
Lake Forest Medical Sc
Northshore Eye Care, Ltd
Heather A. Downes, M.D., P.C., L.L.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 57
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 163W00000X
363L00000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois