Individual
MRS. MARY K PIRRUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2361 PAYSPHERE CIR, CHICAGO, IL 60674
(847) 746-4358
Mailing address
2520 ELISHA AVE, ZION, IL 60099
(847) 872-4561
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024164434
VA
363L00000X
Nurse Practitioner
Primary
209.010366
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932158706
—
VA
Enumeration date
05/09/2006
Last updated
07/21/2022
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