Provider Demographics
NPI:1801864806
Name:DIGNAN, MARY ANNE (CNS)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:ANNE
Last Name:DIGNAN
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:820 S DAMEN AVE
Mailing Address - Street 2:ROOM 4230
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3728
Mailing Address - Country:US
Mailing Address - Phone:312-569-7895
Mailing Address - Fax:312-569-6112
Practice Address - Street 1:820 S DAMEN AVE
Practice Address - Street 2:ROOM 4230
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3728
Practice Address - Country:US
Practice Address - Phone:312-569-7895
Practice Address - Fax:312-569-6112
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL364SC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCritical Care Medicine