Nevin, Mary A
Nevin, Mary A is an individual health care provider with primary practice located at 2300 Childrens Plaza Ste 43, Chicago IL 60614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as her primary health care specialty. Nevin, Mary A can be contacted via phone (773) 880-4575.Contact Information
Primary practice address
2300 Childrens Plaza Ste 43
Chicago IL 60614
Phone: (773) 880-4575
Fax: (773) 880-6300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 036098495 | Illinois |
Profile Details
| NPI number | 1871555805 |
|---|---|
| LBN Legal business name | Nevin, Mary A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Sep 22nd, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871555805 | NPPES |
| Illinois | MEDICAID | 036098495 |
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