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Individual
MARY N SCHRAUFNAGEL
Active
Individual
MARY N SCHRAUFNAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036062608
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001634609
BLUE CROSS GROUP
—
05
—
036062608
—
IL
01
—
P00144178
MEDICARE RAILROAD
—
Enumeration date
05/22/2006
Last updated
12/18/2009
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