Individual provider · Type 1 NPI

Mariellen Patricia Antman, APN-CNP

Adult Health Nurse Practitioner · Lake Forest, IL

NPI number 1235271941 Active

Practice location

800 N Westmoreland Rd, Suite 205
Lake Forest, IL 60045-1673

Fax (847) 535-8590

Mailing address

251 E Huron St
Chicago, IL 60611-2908

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041202000 (IL)
Nurse Practitioner 363L00000X209005116 (IL)
Adult Health Nurse Practitioner Primary 363LA2200X209.005116 (IL)

Adult Health Nurse Practitioner: Definition to come...

23 other providers at this address

Other adult health nurse practitioner providers in Lake Forest

See all in Lake Forest →

About NPI 1235271941

Mariellen Patricia Antman, APN-CNP's National Provider Identifier is 1235271941, issued on Feb 12, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lake Forest, IL. The record was last updated on Oct 13, 2016.