Provider Demographics
NPI:1053444067
Name:WARE, MARY S (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:S
Last Name:WARE
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Gender:F
Credentials:RN
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Mailing Address - Street 1:8300 S DORCHESTER AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60619-6402
Mailing Address - Country:US
Mailing Address - Phone:773-731-7923
Mailing Address - Fax:773-721-7823
Practice Address - Street 1:1740 W TAYLOR ST
Practice Address - Street 2:SUITE 2200 M C 957
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-7232
Practice Address - Country:US
Practice Address - Phone:312-996-7186
Practice Address - Fax:312-996-2704
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical