Provider Demographics
NPI:1508089491
Name:MARY S. WARE CONSULTING SERVICES, INCORPORATED
Entity Type:Organization
Organization Name:MARY S. WARE CONSULTING SERVICES, INCORPORATED
Other - Org Name:MARY S. WARE CONSULTING SERVICES, INCORPORATED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-731-7923
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:773-731-7823
Practice Address - Street 1:8300 S DORCHESTER AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619-6402
Practice Address - Country:US
Practice Address - Phone:773-731-7923
Practice Address - Fax:773-731-7823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209002322364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-SurgicalGroup - Multi-Specialty