Individual
MARY CARAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1800 N MAIN ST STE 219, WHEATON, IL 60187
(630) 614-4960
Mailing address
1800 N MAIN ST STE 219, WHEATON, IL 60187-3112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36101868
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36101868
—
IL
Enumeration date
01/17/2006
Last updated
08/30/2018
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