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MARA DIVIS, DO
DO
Family Medicine Physician
NPI: 1780824037IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
02003631A(IN)58.002346(OH)036129431(IL)
CMS Specialties
PrimaryFAMILY PRACTICE
Education
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Class of 2007
Contact & Hours
- Address
- 5501 W FULLERTON AVE
CHICAGO, IL 60639 - Phone
- (733) 957-4007
Quick Facts
- NPI
- 1780824037
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 1
- Years in Practice
- 19
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