| Doctor Name: | MRS. MARY ANN NOONAN |
| NPI Number: | 1427188788 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN,BC |
| License Number: | |
| Business Practice Address: | 333 N La Grange Rd La Grange Park, IL - 605265646 |
| Business Phone Number: | 7084850069 |
| Business Fax Number: | |
| Mailing Address: | 271 Spring Creek Cir, SCHAUMBURG |
| State: | IL |
| Postal Code: | 601732166 |
| Phone Number: | 8479951822 |
| Fax Number: | |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |