Damiani, Mary Anne
Damiani, Mary Anne is an individual health care provider with primary practice located at 7425 Janes Ave , Woodridge IL 60517-2356. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Damiani, Mary Anne can be contacted via phone (815) 300-7764.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036078370 | Illinois |
Profile Details
| NPI number | 1174578934 |
|---|---|
| LBN Legal business name | Damiani, Mary Anne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Oct 26th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174578934 | NPPES |
| Illinois | MEDICAID | 036078370 | |
| Illinois | Other | 110156090 |
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