Individual
DR. MARY S MAISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 N WESTMORELAND RD STE 100, LAKE FOREST, IL 60045-1671
(224) 271-4650
(224) 234-4336
Mailing address
800 N WESTMORELAND RD STE 100, LAKE FOREST, IL 60045-1671
(224) 271-4650
(224) 234-4336
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01096488A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036147674
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301513301
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G868960
—
CA
Enumeration date
07/11/2006
Last updated
08/25/2025
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