Bisaga, Mary Katherine

Bisaga, Mary Katherine is an individual health care provider with primary practice located at 4700 W 95Th St Suite 303, Oak Lawn IL 60453-2533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bisaga, Mary Katherine can be contacted via phone (708) 857-7230.

Contact Information

Primary practice address
4700 W 95Th St Suite 303 Oak Lawn IL 60453-2533
Phone: (708) 857-7230
Fax: (708) 425-5779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X Illinois

Profile Details

NPI number 1891856324
LBN Legal business name Bisaga, Mary Katherine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1891856324 NPPES
Illinois Other 0091640661 BCBS
Illinois Other 0091640664 BCBS

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