Provider Demographics
NPI:1255506614
Name:MCBRIDE, MARY E (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:E
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2300 N CHILDRENS PLZ
Mailing Address - Street 2:DIVISION OF CARDIOLOGY, BOX 21
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-3363
Mailing Address - Country:US
Mailing Address - Phone:773-880-4553
Mailing Address - Fax:773-880-8111
Practice Address - Street 1:2300 N CHILDRENS PLZ
Practice Address - Street 2:DIVISION OF CARDIOLOGY, BOX 21
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3363
Practice Address - Country:US
Practice Address - Phone:773-880-4553
Practice Address - Fax:773-880-8111
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2011-09-13
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Provider Licenses
StateLicense IDTaxonomies
MO2006013150208000000X, 2080P0202X
IL036.1276052080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics