Mary K Palmore Md Sc

LBN: Mary K Palmore Md Sc
Mary K Palmore Md Sc is an health care organization with primary practice located at 3641 E 108Th St , Chicago IL 60617-6951. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Mary K Palmore Md Sc can be contacted via phone (773) 731-5466, or through Palmore, Mary K via phone (773) 779-8285.

Contact Information

Primary practice address
3641 E 108Th St Chicago IL 60617-6951
Phone: (773) 731-5466
Fax: (773) 731-5461
Website:
Map and Directions
Authorized official contact:
Name: Palmore, Mary K Doctor of Medicine (MD)
Phone: (773) 779-8285

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X Illinois

Profile Details

NPI number 1386697274
LBN Legal business name Mary K Palmore Md Sc
DBA Doing business as
Authorized official Palmore, Mary K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Apr 30th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386697274 NPPES
Illinois Other 14D0996652 CLIA
Illinois Other DG8319 CLIA
Illinois Other 01627483 CLIA

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