Lau, Mary Theresa Ellen

Lau, Mary Theresa Ellen is an individual health care provider with primary practice located at 5Th Avenue & Roosevelt Rd Bldg 200 Rm 546 118S, Hines IL 60141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lau, Mary Theresa Ellen can be contacted via phone (708) 202-8387.

Contact Information

Primary practice address
5Th Avenue & Roosevelt Rd Bldg 200 Rm 546 118S Hines IL 60141
Phone: (708) 202-8387
Fax: (708) 202-2180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X Illinois

Profile Details

NPI number 1801839774
LBN Legal business name Lau, Mary Theresa Ellen
Credentials RN, MS, APN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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