Klein-Gitelman, Marisa Sue

Klein-Gitelman, Marisa Sue is an individual health care provider with primary practice located at 2300 Childrens Plaza #50, Chicago IL 60614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rheumatology, which is considered as her primary health care specialty. Klein-Gitelman, Marisa Sue can be contacted via phone (773) 880-4360.

Contact Information

Primary practice address
2300 Childrens Plaza #50 Chicago IL 60614
Phone: (773) 880-4360
Fax: (773) 880-4179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 036089317 Illinois

Profile Details

NPI number 1336104348
LBN Legal business name Klein-Gitelman, Marisa Sue
Credentials MD MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Sep 21st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336104348 NPPES
Illinois MEDICAID 036039317

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