Emanuele, Mary Ann

Emanuele, Mary Ann is an individual health care provider with primary practice located at 2160 S First Ave Fahey Center Room 137, Maywood IL 60153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Emanuele, Mary Ann can be contacted via phone (708) 216-8367.

Contact Information

Primary practice address
2160 S First Ave Fahey Center Room 137 Maywood IL 60153
Phone: (708) 216-8367
Fax: (708) 216-5936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 36054550 Illinois

Profile Details

NPI number 1902885080
LBN Legal business name Emanuele, Mary Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Nov 11th, 2021 - about 4 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 1902885080 NPPES
Illinois MEDICAID 36054550

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