Mulcahey, Mary

Mulcahey, Mary is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Mulcahey, Mary can be contacted via phone (708) 216-9000.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD449024 Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 304786 Louisiana
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036163338 Illinois

Profile Details

NPI number 1548487424
LBN Legal business name Mulcahey, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Apr 24th, 2023 - about 2 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 1548487424 NPPES
Louisiana Other 304786 LOUISIANA MEDICAL LICENSE
Louisiana Other 25MA09385600 LOUISIANA MEDICAL LICENSE
Louisiana Other MD449024 LOUISIANA MEDICAL LICENSE

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