Mary Waterloo

NPI 1720634827 · on the registry since 2019

Practice

Address: 17901 Governors Hwy Ste 206
Homewood, IL 60430
Phone: (708) 960-4280
Organisation at this address: Impromed Inc
Drugstore Max
Kurani Med Inc
Vipul M. Patel
Uropartners, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 38

Registry record

Primary taxonomy: Nurse Practitioner
363L00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-11-11

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