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Mary I. Pitaro, M.d., Ltd.
Primary Care Clinic/Center in Justice, Illinois
NPI 1184815987

Mary I. Pitaro, M.d., Ltd. is a Primary Care Clinic/Center based in Justice, IL and is specialized in Primary Care. Mary I. Pitaro, M.d., Ltd. practices in Justice, IL. The NPI Number for Mary I. Pitaro, M.d., Ltd. is 1184815987 and holds a License No. (Illinois).

The current practice location address for Mary I. Pitaro, M.d., Ltd. is 9050 W 81St St, Justice, IL and can be reached out via phone at 708-563-0088 and via fax at 708-563-0585.

Location: 9050 W 81St St, Justice, IL, 60458-1350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184815987
Provider Name
Mary I. Pitaro, M.d., Ltd.
Credential
Provider Entity Type
Organization
Address
9050 W 81St St, Justice, IL, 60458-1350
Phone Number
708-563-0088
Fax Number
708-563-0585
Provider Enumeration Date
08/06/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
31604392 01 IL BCBS OF ILLINOIS
institution
Provider Business Practice Location Address Details
Address
9050 W 81St St
City
Justice
State
Illinois
Zip
60458-1350
Phone Number
708-563-0088
Fax Number
708-563-0585
person
Provider Business Mailing Address Details
Address
9050 W 81St St
City
Justice
State
Illinois
Zip
60458-1350
Phone Number
708-563-0088
Fax Number
708-563-0585
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
(Illinois)
Definition
Definition to come...
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