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Individual

MARY ROSS FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
325 S PAULINA ST STE 200, CHICAGO, IL 60612-3207
(312) 942-8387
Mailing address
325 S PAULINA ST STE 200, CHICAGO, IL 60612-3207

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20902177
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209024177
IL

Other

Enumeration date
10/26/2021
Last updated
11/02/2021
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