Mary Cole, R.N,
Individual provider Active NPI Registered Nurse · Hillside, IL
NPI 1730401951 · NPPES record last updated Feb 16, 2010
Key facts
- NPI
- 1730401951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041.317768 (IL)
- Practice address
- 4415 Idlewild LN
Hillside, IL 60162-1735 - Phone
- (708) 547-9377
- NPI assigned
- Feb 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.317768 | IL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.317768 | IL | Yes |
Addresses
Primary practice location
4415 Idlewild LN
Hillside, IL 60162-1735
Mailing address
4415 Idlewild LN
Hillside, IL 60162-1735
Phone (708) 547-9377
Other providers in Hillside, IL
- Mei Chun Chen
- Chicagoland'S Medical Services Organization
- Circle Family Healthcare Network
- Clear View Medical & Rehab Clinic, Inc
- Sheryl Coddington
- Community Care Systems, Inc.
- Adam Reese Conlin
- Jacquelyn Cooper
- Aubry Cortez
- Paula Cox II
All providers in Hillside, IL · Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.