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Individual

MARY FARLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
199 W RAND RD, MOUNT PROSPECT, IL 60056-1151
(847) 618-5400
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022213
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209022213
STATE LICENSE
IL
Enumeration date
10/24/2020
Last updated
12/31/2024
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