Mary Mineman, PA-C

NPI 1164998167 · on the registry since 2018

Practice

Address: 18425 West Creek Dr
Stef
Tinley Park, IL 60477
Phone: (708) 209-6783
Organisation at this address: North Creek Dental Care
Dermatology Associates Ltd
Innovative Care Home Health Inc.
Weil Foot And Ankle Institute Llc
Innovative Outpatient Medical Systems
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-12-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois