Individual
MARY LYNN KREITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2300 CHILDRENS PLAZA, BOX 54, CHICAGO, IL 60614
(773) 880-4440
(773) 880-4063
Mailing address
2300 CHILDRENS PLAZA, BOX 54, CHICAGO, IL 60614
(773) 880-4440
(773) 880-4063
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
036074037
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074037
—
IL
Enumeration date
04/05/2006
Last updated
09/25/2011
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