Garcia, Maria L

Garcia, Maria L is an individual health care provider with primary practice located at 370 Larry Power Rd Suite 1, Bourbonnais IL 60914-5194. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Garcia, Maria L can be contacted via phone (815) 937-3515.

Contact Information

Primary practice address
370 Larry Power Rd Suite 1 Bourbonnais IL 60914-5194
Phone: (815) 937-3515
Fax: (815) 935-4916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036087292 Illinois

Profile Details

NPI number 1487667614
LBN Legal business name Garcia, Maria L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jan 20th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487667614 NPPES
Illinois MEDICAID 036062285

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