Stauber, Mary Ann
Stauber, Mary Ann is an individual health care provider with primary practice located at 2000 Spring Rd Ste 200, Oak Brook IL 60523-1804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Stauber, Mary Ann can be contacted via phone (630) 472-8810.Contact Information
Primary practice address
2000 Spring Rd Ste 200
Oak Brook IL 60523-1804
Phone: (630) 472-8810
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | Wisconsin |
Profile Details
| NPI number | 1558361196 |
|---|---|
| LBN Legal business name | Stauber, Mary Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1558361196 | NPPES |
| Wisconsin | MEDICAID | 4397-7400 |
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