Most Relevant Information
Provider Data
| NPI Number: | 1003020454 |
| Provider Name: | MARY MCCABE PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
350 S GREENLEAF ST
SUITE 405
GURNEE
IL
600315709
Practice Location Phone/Fax
| Phone: | 8475967640 |
| Fax: |
Provider Mailing Location
8930 WAUKEGAN RD
SUITE 200
MORTON GROVE
IL
600532126
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |