Maish, Mary S

Maish, Mary S is an individual health care provider with primary practice located at 800 N Westmoreland Rd Ste 100 , Lake Forest IL 60045-1671. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Maish, Mary S can be contacted via phone (224) 271-4650.

Contact Information

Primary practice address
800 N Westmoreland Rd Ste 100 Lake Forest IL 60045-1671
Phone: (224) 271-4650
Fax: (224) 234-4336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036147674 Illinois

Profile Details

NPI number 1750316774
LBN Legal business name Maish, Mary S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Dec 5th, 2018 - about 7 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 1750316774 NPPES
California MEDICAID 00G868960

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