Individual
MRS. MARY MARGARET MORTLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP, IBCLC
Contact information
Practice address
2500 W HIGGINS RD STE 670, HOFFMAN ESTATES, IL 60169-7208
(847) 884-7710
Mailing address
1389 ALBERTA CT, GLENDALE HEIGHTS, IL 60139-3306
(630) 858-5570
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209.003557
IL
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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