person
Ms. Mary Claire Dewberry-lait, NP
Adult Health Nurse Practitioner in Park Ridge, Illinois
NPI 1598811994

Mary Claire Dewberry-lait is an Adult Health Nurse Practitioner based in Chicago, IL and is specialized in Adult Health. Mary Claire Dewberry-lait practices in Park Ridge, IL and has the professional credentials of NP. The NPI Number for Mary Claire Dewberry-lait is 1598811994 and holds a License No. 209003909 (Illinois).

The current practice location address for Mary Claire Dewberry-lait is 1875 Dempster St Ste 180, Park Ridge, IL and can be reached out via phone at 844-725-5238 and via fax at 847-723-2791. You can also correspond with Mary Claire Dewberry-lait through the mailing address at 29373 NETWORK PL, CHICAGO, IL - 60673-3500 (mailing address contact number: 847-390-5900).

Location: 1875 Dempster St Ste 180, Park Ridge, IL, 60673-3500
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Provider Profile Details
NPI Number
1598811994
Provider Name
Mary Claire Dewberry-lait
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1875 Dempster St Ste 180, Park Ridge, IL, 60673-3500
Phone Number
844-725-5238
Fax Number
847-723-2791
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
041235354 05 IL
406120108 01 PTAN
institution
Provider Business Practice Location Address Details
Address
1875 Dempster St Ste 180
City
State
Zip
60068-1144
Phone Number
844-725-5238
Fax Number
847-723-2791
person
Provider Business Mailing Address Details
Address
29373 Network Pl
City
State
Zip
60673-3500
Phone Number
847-390-5900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
209003909 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209003909 (Illinois)
Definition
Definition to come...
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