Individual
MARY WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 E WOODFIELD RD STE 300, SCHAUMBURG, IL 60173-4776
(847) 605-9500
(847) 605-8700
Mailing address
3595 WATERSCAPE TER, ELGIN, IL 60124-5715
(224) 465-2631
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209033159
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209033159
IL
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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