Keen, Mary

Keen, Mary is an individual health care provider with primary practice located at 26W171 Roosevelt Rd , Wheaton IL 60187-6078. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Keen, Mary can be contacted via phone (630) 909-7337.

Contact Information

Primary practice address
26W171 Roosevelt Rd Wheaton IL 60187-6078
Phone: (630) 909-7337
Fax: (630) 909-7039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 036.067113 Illinois

Profile Details

NPI number 1831267921
LBN Legal business name Keen, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Feb 8th, 2018 - about 6 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 1831267921 NPPES
Illinois MEDICAID 036067113

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