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NPI Code Detail

MEDICARE: MS. MARY K DAHILIG APN, FNP-BC

MEDICARE: MS. MARY K DAHILIG APN, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner209009165IL
2363LF0000XFamily Nurse Practitioner209009165IL
3363L00000XNurse Practitioner277003870IL

General Provider Information

NPI Number : 1225314990
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY K DAHILIG APN, FNP-BC
Provider Business Mailing Address
First Line : 20 S CLARK ST FL 11
Second Line :
City : CHICAGO
State : IL
Zip : 60603-1882
Country : US
Telephone Number : 312-926-3627
Fax Number : 312-357-2284
Provider Business Practice Location Address
First Line : 20 S CLARK ST FL 11
Second Line :
City : CHICAGO
State : IL
Zip : 60603-1882
Country : US
Telephone Number : 312-926-3627
Fax Number : 312-357-2284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2011
Last Update Date : 05/06/2025

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