| Doctor Name: | MS. MARY K DAHILIG |
| NPI Number: | 1225314990 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN, FNP-BC |
| License Number: | 209009165 |
| Business Practice Address: | 11200 Lincoln Hwy Mokena, IL - 60448 |
| Business Phone Number: | 6302322094 |
| Business Fax Number: | |
| Mailing Address: | 1 Cvs Dr., WOONSOCKET |
| State: | RI |
| Postal Code: | 028956146 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/26/2011 |
| NPI Last Update Date: | 10/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209009165 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |