Individual
MARY N MENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
151 W HIGH ST LOWR LEVEL, MORRIS, IL 60450-1407
(815) 705-1000
(815) 705-2709
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-106941
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.106941
LICENSE
IL
05
—
036106941
—
IL
Enumeration date
07/17/2006
Last updated
10/17/2022
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