Individual
MARY M FITZGIBBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
237 W WAVERLY ST, MORRIS, IL 60450-1334
(815) 941-0441
(815) 941-0472
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036108451
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108451
—
IL
Enumeration date
07/10/2006
Last updated
04/07/2022
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