Mary Ann Mcrae
Reproductive Endocrinologist
340 W Miller Street
Springfield
, Illinois 62702
Mary Ann Mcrae
Reproductive Endocrinologist
340 W Miller Street
Springfield
, Illinois 62702
(217) 523-9025
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About
Features
Specialties
- Reproductive Endocrinologist
Languages spoken
- English
Location
First Address
- Mary Ann Mcrae
- 340 W Miller Street
- Springfield, IL
- Zip : 62702
- Fax : (217) 523-9025
- Phone : (217) 523-4700
Second Address
- Mary Ann Mcrae
- 340 W Miller Street
- Springfield, IL
- Zip : 62702
- Fax : (217) 523-9025
- Phone : (217) 523-4700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VE0102X | Reproductive Endocrinologist | 0360729331 | IL |
National Provider Identifier
| NPI | 1174581680 |
|---|---|
| Provider Name | Mary Ann Mcrae |
| First Address | Springfield, IL 62702 |
| Second Address | Springfield, IL 62702 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C59076 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.