Provider Demographics
NPI:1609305739
Name:MAURER, LAURA EVE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:EVE
Last Name:MAURER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 E OHIO ST UNIT 4102
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4511
Mailing Address - Country:US
Mailing Address - Phone:989-482-8813
Mailing Address - Fax:
Practice Address - Street 1:211 E ONTARIO ST STE 1000
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3278
Practice Address - Country:US
Practice Address - Phone:312-695-4147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-12
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036152239207R00000X
CT390200000X
OH35.144527207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program