Individual
MRS. MARY JANE TOLES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6354
(312) 569-6112
Mailing address
12014 S PERRY AVE, CHICAGO, IL 60628-6625
(773) 928-1213
(312) 569-6112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
IL
Other
Enumeration date
03/07/2006
Last updated
07/08/2007
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