Acosta, Mary Elizabeth

Acosta, Mary Elizabeth is an sole proprietor health care provider with primary practice located at 5841 S. Maryland Ave. M/C 7082, Chicago IL 60637-1443. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Acosta, Mary Elizabeth can be contacted via phone (773) 702-4145.

Contact Information

Primary practice address
5841 S. Maryland Ave. M/C 7082 Chicago IL 60637-1443
Phone: (773) 702-4145
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125.073659 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1932660412
LBN Legal business name Acosta, Mary Elizabeth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2019
Last updated May 8th, 2019 - about 5 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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