Fowler, Mary V

Fowler, Mary V is an individual health care provider with primary practice located at 4440 W 95Th St Ste 1200H , Oak Lawn IL 60453-2600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fowler, Mary V can be contacted via phone (708) 684-3133.

Contact Information

Primary practice address
4440 W 95Th St Ste 1200H Oak Lawn IL 60453-2600
Phone: (708) 684-3133
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209.007928 Illinois

Profile Details

NPI number 1174846554
LBN Legal business name Fowler, Mary V
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2010
Last updated Sep 19th, 2022 - about 2 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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