Individual
MARY ANN EMANUELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, FAHEY CENTER ROOM 137, MAYWOOD, IL 60153
(708) 216-8367
(708) 216-5936
Mailing address
2160 S FIRST AVE, FAHEY CENTER ROOM 137, MAYWOOD, IL 60153
(708) 216-8367
(708) 216-5936
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
36054550
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36054550
—
IL
Enumeration date
01/17/2006
Last updated
11/11/2021
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