Uckerman, Mary Therese

Uckerman, Mary Therese is an individual health care provider with primary practice located at 701 W North Ave , Melrose Park IL 60160-1612. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Uckerman, Mary Therese can be contacted via phone (708) 681-3200.

Contact Information

Primary practice address
701 W North Ave Melrose Park IL 60160-1612
Phone: (708) 681-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 036087252 Illinois
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036087252 Illinois

Profile Details

NPI number 1801809322
LBN Legal business name Uckerman, Mary Therese
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Sep 5th, 2023 - about 2 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 1801809322 NPPES
Illinois MEDICAID 036087252
Illinois Other 01623819

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