Provider Demographics
NPI:1407888670
Name:HIGGINS, MARY REGINA (MEDICAL DOCTOR MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:REGINA
Last Name:HIGGINS
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Gender:F
Credentials:MEDICAL DOCTOR MD
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Mailing Address - Street 1:2551 COMPASS ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026
Mailing Address - Country:US
Mailing Address - Phone:847-729-6445
Mailing Address - Fax:847-729-9707
Practice Address - Street 1:2551 COMPASS ROAD
Practice Address - Street 2:SUITE 100 GLENBROOK PEDIATRICS
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026
Practice Address - Country:US
Practice Address - Phone:847-729-6445
Practice Address - Fax:847-729-9707
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics