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Individual
MARY M MCNAMARA
Active
Individual
MARY M MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041359075
IL
363LF0000X
Family Nurse Practitioner
209-010789
IL
363LF0000X
Family Nurse Practitioner
Primary
277-000470
IL
Other
Enumeration date
07/11/2013
Last updated
10/10/2023
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