Mary Lou O'Keefe in Evergreen Park - Surgical
Mary Lou O'Keefe - NPI 1417071713
Mary Lou O'Keefe is a Surgical in Evergreen Park, Illinois. Mary Lou O'Keefe practices all healthcare services and medical treatments related to Surgical. The NPI Number for Mary Lou O'Keefe is 1417071713. The last update date is 2007-07-08.
Mary Lou O'Keefe's current location address is 2850 W 95th St Ste 102, Evergreen Park, Illinois. You can contact this provider via phone number 7086364116 and fax number 7086365346. The mailing address for Mary Lou O'Keefe is 2850 W 95th St Ste 102, Evergreen Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Lou O'Keefe |
|---|---|
| Address | 2850 W 95th St Ste 102, Evergreen Park, Illinois |
| Phone Number | 7086364116 |
| Fax Number | 7086365346 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1417071713 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2850 W 95th St Ste 102 |
|---|---|
| City | Evergreen Park |
| State | Illinois (IL) |
| Post Code | 608052703 |
| Phone Number | 7086364116 |
| Fax Number | 7086365346 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the unique identifier code issued to Mary Lou O'Keefe by the Centers for Medicare & Medicaid Services?
The Mary Lou O'Keefe has been assigned the NPI (National Provider Identifier) 1417071713. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mary Lou O'Keefe?
The Mary Lou O'Keefe is physically situated at 2850 W 95Th St Ste 102, in the city of Evergreen Park, state of IL, with the postal code 608052703.
What is the Mary Lou O'Keefe's specialty and taxonomy code?
The Mary Lou O'Keefe's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417071713 to Mary Lou O'Keefe?
The Mary Lou O'Keefe received its 1417071713 assignment from the Centers for Medicare & Medicaid Services on 2007-03-19.
As of what date were the details pertaining to Mary Lou O'Keefe last refreshed?
The information related to the Mary Lou O'Keefe, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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