Individual
MARY C HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
13011 S 104TH AVE STE 100, PALOS PARK, IL 60464-1508
(708) 274-3278
Mailing address
13011 S 104TH AVE STE 100, PALOS PARK, IL 60464-1508
(708) 274-3278
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.009808
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209.009808041.249554
IL
Other
Enumeration date
10/09/2012
Last updated
01/14/2026
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