Individual
MARY V SZPUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1875 DEMPSTER ST, SUITE 301, PARK RIDGE, IL 60068-1186
(847) 685-1000
(847) 685-6685
Mailing address
1900 W POLK ST, STE 1200, CHICAGO, IL 60612-3723
(312) 864-0451
(312) 864-9686
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001173
IL
363AM0700X
Medical Physician Assistant
085001173
IL
363AS0400X
Surgical Physician Assistant
085001173
IL
Other
Enumeration date
01/04/2006
Last updated
09/14/2020
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