Schraufnagel, Mary N

Schraufnagel, Mary N is an individual health care provider with primary practice located at 7411 Lake St Ste L-120, River Forest IL 60305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Schraufnagel, Mary N can be contacted via phone (708) 488-1919.

Contact Information

Primary practice address
7411 Lake St Ste L-120 River Forest IL 60305
Phone: (708) 488-1919
Fax: (708) 488-2370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036062608 Illinois

Profile Details

NPI number 1548214539
LBN Legal business name Schraufnagel, Mary N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Dec 18th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548214539 NPPES
Illinois MEDICAID 036062608
Illinois Other 0001634609
Illinois Other P00144178

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