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Organization

MARIA J. MYNATT, MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIA JOSEPHINE MYNATT MD (MANAGING MEMBER)
(847) 325-5467
Entity
Organization

Contact information

Practice address
250 PARKWAY DR STE 150, LINCOLNSHIRE, IL 60069-4340
(847) 325-5467
Mailing address
455 WOODLAWN AVE, GLENCOE, IL 60022-2175
(847) 791-7799

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
12/20/2018
Last updated
12/20/2018
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