Cunningham, Maria Louise

Cunningham, Maria Louise is an individual health care provider with primary practice located at 916 Talon Dr Suite 102, O Fallon IL 62269-1848. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Cunningham, Maria Louise can be contacted via phone (618) 628-8211.

Contact Information

Primary practice address
916 Talon Dr Suite 102 O Fallon IL 62269-1848
Phone: (618) 628-8211
Fax: (618) 628-0883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 070018731 Illinois

Profile Details

NPI number 1881979623
LBN Legal business name Cunningham, Maria Louise
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2011
Last updated Dec 19th, 2011 - about 14 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 1881979623 NPPES
Illinois Other 900068033 HNFS TRICARE NORTH REGION
Illinois Other 900068033 HNFS TRICARE NORTH REGION
Illinois Other 900068033 HNFS TRICARE NORTH REGION
Illinois Other 900068033 HNFS TRICARE NORTH REGION
Illinois Other 900068033 HNFS TRICARE NORTH REGION
Illinois Other 900068033 HNFS TRICARE NORTH REGION
Illinois Other 146703 HNFS TRICARE NORTH REGION
Illinois Other 900068033 HNFS TRICARE NORTH REGION

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