Individual
MARY MERAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4400 W 95TH ST STE 205, OAK LAWN, IL 60453-2658
(708) 684-5340
(708) 684-3355
Mailing address
4400 W 95TH ST STE 205, OAK LAWN, IL 60453-2658
(708) 684-5340
(708) 684-3355
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036.152861
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
IL
Enumeration date
05/21/2015
Last updated
12/15/2021
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