Kreiter, Mary Lynn

Kreiter, Mary Lynn is an individual health care provider with primary practice located at 2300 Childrens Plaza Box 54, Chicago IL 60614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Kreiter, Mary Lynn can be contacted via phone (773) 880-4440.

Contact Information

Primary practice address
2300 Childrens Plaza Box 54 Chicago IL 60614
Phone: (773) 880-4440
Fax: (773) 880-4063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 036074037 Illinois

Profile Details

NPI number 1124080155
LBN Legal business name Kreiter, Mary Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Sep 25th, 2011 - 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 1124080155 NPPES
Illinois MEDICAID 036074037

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