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1720634827
MARY ELIZABETH WATERLOO
HOMEWOOD, IL
NPI
1720634827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209019819)
Enumeration Date
2019-08-14
Last Update Date
2021-11-11
Business Address
MARY ELIZABETH WATERLOO
17901 GOVERNORS HWY STE 206
HOMEWOOD, IL 60430-1146
Phone number: 708-960-4280
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Mailing Address
MARY ELIZABETH WATERLOO
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9000
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