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:
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Health care specialties

SpecialtyCodeLicense #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 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 1871555805 NPPES
Illinois MEDICAID 036098495

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