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Individual
DR. MARY ELIZABETH FRY
Active
Individual
DR. MARY ELIZABETH FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036064422
IL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
036064422
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360644Z2
—
IL
Enumeration date
09/25/2006
Last updated
03/05/2025
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