Individual
MARY M BRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153
(708) 327-3019
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-3019
Taxonomy
Speciality
Code
Description
License number
State
364SX0200X
Oncology Clinical Nurse Specialist
Primary
209001520
IL
Other
Enumeration date
03/25/2008
Last updated
08/16/2018
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