NPI 1932660412 · live from the CMS NPI Registry
Mary Elizabeth Acosta
Internal Medicine in Chicago, IL. National Provider Identifier 1932660412, active.
NPI record
| NPI | 1932660412 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 5841 S. Maryland Ave., M/C 7082, Chicago, IL 60637 |
| Practice phone | 773-702-4145 |
| Mailing address | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527 |
| Enumerated | March 27, 2019 |
| Last updated | May 8, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine primary | 207R00000X | 125.073659 (IL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.