MARY SUPER, APN

Nurse Practitioner

Active Individual
NPI: 1215176581

Practice Address

4440 W 95TH ST
Oak Lawn, IL 60453

Phone: (708) 684-8000

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes 209004357 (IL)

Frequently Asked Questions

NPI 1215176581 is the National Provider Identifier for MARY SUPER, APN, a Nurse Practitioner provider located in Oak Lawn, IL. This NPI was enumerated on February 11, 2009.
MARY SUPER, APN practices at 4440 W 95TH ST, Oak Lawn, IL 60453.

Quick Facts

NPI
1215176581
Type
Individual
Enumerated
Feb 11, 2009
Last Updated
Jul 31, 2012

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