MARY ELIZABETH WATERLOO

HOMEWOOD, IL
NPI1720634827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209019819)
Enumeration Date2019-08-14
Last Update Date2021-11-11
Business Address
MARY ELIZABETH WATERLOO
17901 GOVERNORS HWY STE 206
HOMEWOOD, IL 60430-1146
Phone number: 708-960-4280
Mailing Address
MARY ELIZABETH WATERLOO
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9000