Individual
MRS. MARY COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N,
Contact information
Practice address
4415 IDLEWILD LN, HILLSIDE, IL 60162-1735
(708) 547-9377
Mailing address
4415 IDLEWILD LN, HILLSIDE, IL 60162-1735
(708) 547-9377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.317768
IL
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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