DR. MARY MARYLAND


Address: 1900 W Taylor St, Suite 172, Chicago, IL 60612-3742
Phone: 3124132042

DR. MARY MARYLAND (NPI# 1093740953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093740953
Entity Type Individual
Full Name DR. MARY MARYLAND
Credential NP-C, PHD, MSN
Practice Address 1900 W Taylor St
Suite 172
Chicago
IL 60612-3742
Mailing Address 420 Home Ave
Oak Park
IL 60302-3770
Practice Telephone 3124132042
Practice Fax Number 3129965984
Enumeration Date 2006-07-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 209003959 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1900 W TAYLOR ST
SUITE 172
City CHICAGO
State IL
Zip Code 60612-3742

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245278142 Allan Pilloff Internal Medicine 1900 W Taylor St, Suite A, Chicago, IL 60612-3742 2006-06-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

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1477151272 Yolanda K Bradford Nurse Practitioner 2700 S California Ave, Chicago, IL 60608-5108 2020-10-14
1073125431 Faith M Langtiw Nurse Practitioner 2704 W Catalpa Ave, Chicago, IL 60625-3216 2020-08-18
1871114025 Quickcare, Pllc Nurse Practitioner 6419 W Touhy Ave Apt 4a, Chicago, IL 60646-1040 2020-04-29
1376170894 Julia Jekli Nurse Practitioner 365 N Halsted St Apt 3009, Chicago, IL 60661-1379 2020-03-25
1821623281 Rina Delapena Nurse Practitioner 5630 N Sheridan Rd Apt 319, Chicago, IL 60660-4810 2020-03-06
1902439193 Iwona Boska Nurse Practitioner 676 N St.clair Street, Suite 2140, Chicago, IL 60611 2020-02-17
1962032813 Sonia Ivelis Fernandez Nurse Practitioner 6129 N Campbell Ave Apt 1, Chicago, IL 60659-2809 2020-01-20
1164060257 Julie Ann Daniels Nurse Practitioner 5808 W Eddy St, Chicago, IL 60634-4351 2019-12-19
1720625593 Bogdana Gryniv Nurse Practitioner 5758 S Maryland Ave Ste 5a, Chicago, IL 60637-1426 2019-11-29
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Competitor

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City CHICAGO
Zip Code 60612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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