Individual provider · Type 1 NPI

Marianne Gagnon-Konamna, MD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1669090403 Active

Practice location

1950 West Polk Street
Chicago, IL 60612

Call (312) 864-0395 Map

Mailing address

850 Saint-Denis St
Montreal, QUEBEC H2X0A9

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669090403

Marianne Gagnon-Konamna, MD's National Provider Identifier is 1669090403, issued on Jul 8, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Sep 28, 2020.