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NPI Code Detail

MEDICARE: MARRIAM VARTOLOMEI

MEDICARE:   MARRIAM  VARTOLOMEI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1639520893
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARRIAM VARTOLOMEI
Provider Business Mailing Address
First Line : 4050 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-3067
Country : US
Telephone Number : 312-961-9959
Fax Number :
Provider Business Practice Location Address
First Line : 4050 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-3067
Country : US
Telephone Number : 312-961-9959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2016
Last Update Date : 06/28/2016

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Directions to “ MARRIAM VARTOLOMEI ” Practice Location

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