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Individual

MS. MARY NOREEN MCHALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN PMHNP-BC AOCN

Contact information

Practice address
2000 W BERWYN AVE, UNIT 203, CHICAGO, IL 60625-1199
(773) 620-7624
Mailing address
2000 W BERWYN AVE, UNIT 203, CHICAGO, IL 60625-1199
(773) 620-7624

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041170279
IL
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
209009540
IL

Other

Enumeration date
07/18/2012
Last updated
07/18/2012
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