Individual
VERA M. MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
1801 W TAYLOR ST, 1-E OCC, MC 821, CHICAGO, IL 60612-4319
(312) 355-3268
(312) 355-1515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041233248
IL
Other
Enumeration date
09/14/2006
Last updated
06/23/2008
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