Individual provider · Type 1 NPI

Michelle Marie Maris, M.S.

Specialist · Atlanta, IL

NPI number 1205973856 Active

Practice location

2332 2275th Ave
Atlanta, IL 61723-9000

Fax (217) 648-2549

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMM67660801P (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

About NPI 1205973856

Michelle Marie Maris, M.S.'s National Provider Identifier is 1205973856, issued on Jan 31, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Atlanta, IL. The record was last updated on Jul 8, 2007.