Kashmar, Mary Grace

Kashmar, Mary Grace is an individual health care provider with primary practice located at 801 S Milwaukee Ave , Libertyville IL 60048-3204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Kashmar, Mary Grace can be contacted via phone (847) 362-2900.

Contact Information

Primary practice address
801 S Milwaukee Ave Libertyville IL 60048-3204
Phone: (847) 362-2900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 041259305 Illinois

Profile Details

NPI number 1356364293
LBN Legal business name Kashmar, Mary Grace
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Dec 13th, 2012 - about 12 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 1356364293 NPPES
Illinois Other 430014089 RAILROAD MEDICARE

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