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Individual

MARY P FITZGERALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5500 S 5TH AVENUE, BLDG 1, ROOM 320, HINES, IL 60141
(708) 202-2036
(708) 202-2180
Mailing address
5500 S 5TH AVENUE, BLDG 1, ROOM 320, HINES, IL 60141
(708) 202-2036
(708) 202-2180

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
36094701
IL
208800000X
Urology Physician
36094701
IL

Other

Enumeration date
03/01/2006
Last updated
04/09/2012
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