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MS. MARIANNE GAGNON-KONAMNA M.D.
NPI 1669090403
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since July 08, 2020PECOS Enrolled
1950 WEST POLK STREET, CHICAGO, IL 60612(312) 864-0395 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 28, 2020, Jul 8, 2020 (2 updates tracked since 2020).

About Ms. Marianne Gagnon-konamna M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARIANNE GAGNON-KONAMNA M.D. (NPI 1669090403) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669090403
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. MARIANNE GAGNON-KONAMNACredential: M.D.
Location Address1950 WEST POLK STREETChicago, IL 60612
Mailing Address850 Saint-denis StMontreal, QUEBEC H2X0A9
Phone(312) 864-0395
Sole ProprietorNo
Enumeration DateJuly 8, 2020
Last NPPES UpdateSeptember 28, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2020
✔ NPI 1669090403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
1950 WEST POLK STREET, Chicago, IL 60612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Marianne Gagnon-konamna M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TYLER STEVEN LAMB M.D.
Surgery
1950 WEST POLK STREET, 8TH FLOOR
CHICAGO, IL 60612
Cook County (312) 864-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marianne Gagnon-konamna's NPI number?

The NPI number for Marianne Gagnon-konamna is 1669090403. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Where is Marianne Gagnon-konamna located?

Marianne Gagnon-konamna practices at 1950 West Polk Street, Chicago, IL 60612. The listed phone number is (312) 864-0395.

What is Marianne Gagnon-konamna's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marianne Gagnon-konamna enrolled in Medicare?

Yes. Marianne Gagnon-konamna is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marianne Gagnon-konamna was last updated on September 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.