Doherty, Mary Debra

Doherty, Mary Debra is an sole proprietor health care provider with primary practice located at 4456 N Sawyer Ave , Chicago IL 60625-4513. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Doherty, Mary Debra can be contacted via phone (773) 539-3522.

Contact Information

Primary practice address
4456 N Sawyer Ave Chicago IL 60625-4513
Phone: (773) 539-3522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1720371842
LBN Legal business name Doherty, Mary Debra
Credentials D.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2011
Last updated May 23rd, 2011 - about 13 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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