Provider Demographics
NPI:1194755421
Name:FERREIRA, MARIA ROSARIO (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ROSARIO
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:680 N LAKE SHORE DR
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4546
Mailing Address - Country:US
Mailing Address - Phone:312-695-5620
Mailing Address - Fax:312-695-7095
Practice Address - Street 1:675 N SAINT CLAIR ST
Practice Address - Street 2:GALTER 17-250
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5975
Practice Address - Country:US
Practice Address - Phone:312-695-5620
Practice Address - Fax:312-695-7095
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2009-07-02
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Provider Licenses
StateLicense IDTaxonomies
IL036087145207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILG89453Medicare UPIN