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Mary T Super, APN
Nurse Practitioner in Oak Lawn, Illinois
NPI 1215176581

Mary T Super is a Nurse Practitioner based in Oak Lawn, IL. Mary T Super practices in Oak Lawn, IL and has the professional credentials of APN. The NPI Number for Mary T Super is 1215176581 and holds a License No. 209004357 (Illinois).

The current practice location address for Mary T Super is 4440 W 95Th St, Oak Lawn, IL and can be reached out via phone at 708-684-8000.

Location: 4440 W 95Th St, Oak Lawn, IL, 60453-2600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215176581
Provider Name
Mary T Super
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
4440 W 95Th St, Oak Lawn, IL, 60453-2600
Phone Number
708-684-8000
Fax Number
Provider Enumeration Date
02/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
203981003 01 IL MEDICARE PTAN
203981 01 IL GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
4440 W 95Th St
City
Oak Lawn
State
Illinois
Zip
60453-2600
Phone Number
708-684-8000
Fax Number
person
Provider Business Mailing Address Details
Address
4440 W 95Th St
City
Oak Lawn
State
Illinois
Zip
60453-2600
Phone Number
708-684-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209004357 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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