Individual
MARY LOUISE ORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1945 W WILSON AVE STE 4000, CHICAGO, IL 60640-5255
(773) 736-6220
(773) 736-3941
Mailing address
4667 W PRATT AVE, LINCOLNWOOD, IL 60712-3348
(847) 675-2713
(312) 413-4410
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209002088
IL
Other
Enumeration date
07/10/2006
Last updated
12/02/2021
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