Baldauf, Mary Christine

Baldauf, Mary Christine is an sole proprietor health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Baldauf, Mary Christine can be contacted via phone (708) 684-5341.

Contact Information

Primary practice address
4440 W 95Th St Oak Lawn IL 60453-2600
Fax: (708) 684-4716
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 202595 New York

Profile Details

NPI number 1447271911
LBN Legal business name Baldauf, Mary Christine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Apr 19th, 2022 - about 2 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 1447271911 NPPES
New York MEDICAID 02128930

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