Individual
MAURA DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 542-2000
Mailing address
26460 NETWORK PL, CHICAGO, IL 60673-1264
(773) 257-2500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02005313A
IN
207P00000X
Emergency Medicine Physician
Primary
036135376
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2010
Last updated
12/17/2021
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