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NPI Code Detail

MEDICARE: MARIA R VER M.D.

MEDICARE: MARIA R VER M.D.
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
1208600000XSurgery Physician125054794IL

General Provider Information

NPI Number : 1598915910
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA R VER M.D.
Provider Business Mailing Address
First Line : 1500 S CALIFORNIA AVE
Second Line : DEPT OF SURGERY
City : CHICAGO
State : IL
Zip : 60608-1729
Country : US
Telephone Number : 773-257-6464
Fax Number :
Provider Business Practice Location Address
First Line : 1500 S CALIFORNIA AVE
Second Line : DEPT OF SURGERY
City : CHICAGO
State : IL
Zip : 60608-1729
Country : US
Telephone Number : 773-257-6464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2008
Last Update Date : 09/22/2008

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