Individual
MARY TOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST, SUITE 117 PB, CHICAGO, IL 60612-3841
(312) 942-6296
Mailing address
1725 W HARRISON ST, SUITE 117 PB, CHICAGO, IL 60612-3841
(312) 942-6296
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036-057479
IL
207R00000X
Internal Medicine Physician
036-057479
IL
Other
Enumeration date
07/13/2006
Last updated
09/28/2020
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