# MARY-ANN M. MATHIAS, M.D., S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043507536
- **Authorized official:** MARY-ANN MARGARET MATHIAS M.D. (PRESIDENT)
- **Authorized official phone:** (773) 988-3151

## Contact information

- **Practice address:** 670 W WAYMAN ST, APT 1203, CHICAGO, IL 60661-1704
- **Practice address phone:** (773) 988-3151
- **Mailing address:** 670 W WAYMAN ST, APT 1203, CHICAGO, IL 60661-1704
- **Mailing address phone:** (773) 988-3151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036119270 | IL | Yes |

## Other

- **Enumeration date:** 07/05/2011
- **Last updated:** 07/05/2011