Individual
MS. MARY KAY AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
ST. ANTHONY HOSPITAL, 2875 W. 19TH STREET, CHICAGO, IL 60623
(773) 484-4366
Mailing address
PO BOX 465, ELWOOD, IL 60421-0465
(815) 423-5405
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209-004150
IL
Other
Enumeration date
11/09/2006
Last updated
06/02/2011
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