MICHELLE MARIE MARIS


Address: 2332 2275th Ave, Atlanta, IL 61723-9000
Phone: 2176388822

MICHELLE MARIE MARIS (NPI# 1205973856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205973856
Entity Type Individual
Full Name MICHELLE MARIE MARIS
Credential M.S.
Practice Address 2332 2275th Ave
Atlanta
IL 61723-9000
Practice Telephone 2176388822
Practice Fax Number 2176482549
Mailing Telephone 2176388822
Mailing Fax Number 2176482549
Enumeration Date 2007-01-31
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist MM67660801P IL Other Service Providers

Office Location

Street Address 2332 2275TH AVE
City ATLANTA
State IL
Zip Code 61723-9000

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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Competitor

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City ATLANTA
Zip Code 61723

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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