Individual
MARY CARRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1875 DEMPSTER ST STE 280, PARK RIDGE, IL 60068-1157
(847) 723-5990
(847) 318-2535
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1143
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036171429
IL
Other
Enumeration date
03/26/2019
Last updated
09/27/2024
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