Mrs. Mara Laborde Maas
Adolescent Medicine
9830 Ridgeland Ave
Chicago Ridge
, Illinois 60415-2667
Mrs. Mara Laborde Maas
Adolescent Medicine
9830 Ridgeland Ave
Chicago Ridge
, Illinois 60415-2667
(312) 343-2484
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Mrs. Mara Laborde Maas
- 1017 Hayes Ave
- Oak Park, IL
- Zip : 60302-1413
- Phone : (312) 343-2484
Second Address
- Mrs. Mara Laborde Maas
- 9830 Ridgeland Ave
- Chicago Ridge, IL
- Zip : 60415-2667
- Phone : (708) 636-8747
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 036-114693 | IL |
National Provider Identifier
| NPI | 1235263955 |
|---|---|
| Provider Name | Mrs. Mara Laborde Maas |
| First Address | Oak Park, IL 60302-1413 |
| Second Address | Chicago Ridge, IL 60415-2667 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/03/2007 |
| Last Update Date | 10/02/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036-114693 | PROFESSIONAL (01) | IL |
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.