Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 036134317 | IL |
Y | 111NI0900X | Internist | 036134317 | IL |
N | 207R00000X | Internist | 2006016359 | MO |
N | 111NI0900X | Internist | 2006016359 | MO |
N | 207RI0200X | Infectious Disease | 2006016359 | MO |
N | 208000000X | Pediatrician | 2006016359 | MO |
N | 2080P0208X | Pediatric Infectious Diseases | 2006016359 | MO |
NPI | 1528285566 |
---|---|
Provider Name | Dr. Mary Catherine Barsanti-Sekhar |
First Address | Maywood, IL 60153-3328 |
Second Address | Maywood, IL 60153-3328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 25/10/2020 |