Individual
MAGGIE LYNN MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.054476
IL
2084N0400X
Neurology Physician
Primary
036130207
IL
2084N0600X
Clinical Neurophysiology Physician
036130207
IL
Other
Enumeration date
08/01/2008
Last updated
03/24/2022
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