Individual
DR. MARY CATHERINE HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
917 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
(847) 295-1220
(847) 295-1255
Mailing address
917 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
(847) 295-1220
(847) 295-1255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125050915
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125050915
STATE
IL
Enumeration date
08/15/2008
Last updated
03/20/2015
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