Individual
MRS. MARA LABORDE MAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16505 106TH CT, ORLAND PARK, IL 60467-4522
(708) 364-1550
(708) 364-1468
Mailing address
1017 HAYES AVE, OAK PARK, IL 60302-1413
(312) 343-2484
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
036-114693
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-114693
PROFESSIONAL
IL
Enumeration date
03/15/2007
Last updated
04/21/2026
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