Individual
MRS. MARY MACIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-6399
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209005091
IL
Other
Enumeration date
12/05/2011
Last updated
04/19/2021
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