Provider Demographics
NPI:1861182073
Name:MARATTIL, ROSANN
Entity type:Individual
Prefix:
First Name:ROSANN
Middle Name:
Last Name:MARATTIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3933 WHITE EAGLE DR W
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8283
Mailing Address - Country:US
Mailing Address - Phone:630-803-8237
Mailing Address - Fax:
Practice Address - Street 1:3933 WHITE EAGLE DR W
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-8283
Practice Address - Country:US
Practice Address - Phone:630-803-8237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program