Wisniewski, Mary C

Wisniewski, Mary C is an individual health care provider with primary practice located at 5530 S Ellis Ave , Chicago IL 60637-1402. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Wisniewski, Mary C can be contacted via phone (773) 753-4708.

Contact Information

Primary practice address
5530 S Ellis Ave Chicago IL 60637-1402
Phone: (773) 753-4708
Fax: (773) 834-4470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Illinois

Profile Details

NPI number 1881662229
LBN Legal business name Wisniewski, Mary C
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jul 8th, 2007 - about 18 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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