Picken, Maria

Picken, Maria is an individual health care provider with primary practice located at 2160 S First Ave (Ems Bldg., Rm. 2209), Maywood IL 60153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Picken, Maria can be contacted via phone (708) 216-3250.

Contact Information

Primary practice address
2160 S First Ave (Ems Bldg., Rm. 2209) Maywood IL 60153
Phone: (708) 216-3250
Fax: (708) 216-2620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 36077578 Illinois

Profile Details

NPI number 1588643670
LBN Legal business name Picken, Maria
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated May 13th, 2021 - about 4 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 1588643670 NPPES
Illinois MEDICAID 36077578

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