Mary T Super, APN

NPI #1215176581 in Oak Lawn, Illinois

Provider Information

NPI Number: 1215176581
Entity Type: Individual
Name: Mary T Super, APN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: APN
Enumeration Date: Feb 11, 2009
Last Updated: Jul 31, 2012

Practice Location

Address: 4440 W 95TH ST
City: Oak Lawn
State: Illinois
ZIP Code: 60453-2600
Phone: (708) 684-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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