Organization
MARY-ANN M. MATHIAS, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY-ANN MARGARET MATHIAS M.D. (PRESIDENT)
(773) 988-3151
Entity
Organization
Contact information
Practice address
670 W WAYMAN ST, APT 1203, CHICAGO, IL 60661-1704
(773) 988-3151
Mailing address
670 W WAYMAN ST, APT 1203, CHICAGO, IL 60661-1704
(773) 988-3151
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036119270
IL
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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