MARY B CREAN


Address: 12251 S. 80th Avenue, Palos Heights, IL 60463
Phone: 6302571111

MARY B CREAN (NPI# 1285864256) 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) 1285864256
Entity Type Individual
Full Name MARY B CREAN
Other Name MARY B FITZMAURICE
Credential APRN
Practice Address 12251 S. 80th Avenue
Palos Heights
IL 60463
Mailing Address 12251 S. 80th Avenue
Suite 1630
Palos Heights
IL 60463
Practice Telephone 6302571111
Practice Fax Number 7089235018
Mailing Telephone 7089235173
Mailing Fax Number 7089235018
Enumeration Date 2009-07-23
Last Update Date 2020-08-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 041273204 IL Nursing Service Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
277000511 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARY CREAN

NPI Name Taxonomy Address Enumeration
1942436720 Mary R Crean Speech-Language Pathologist 267 Grant St, Bridgeport, CT 06610-2805 2009-06-06

Office Location

Street Address 12251 S. 80TH AVENUE
City PALOS HEIGHTS
State IL
Zip Code 60463

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184699118 Palos Community Hospital Psychiatric Unit 12251 S. 80th Avenue, Psychiatric Unit, Palos Heights, IL 60463 2006-02-22
1639307168 Rosemary Atta-fynn Internal Medicine 12251 S. 80th Avenue, Palos Heights, IL 60463 2009-06-23
1053553859 Chaher Hussain Alhandalous Internal Medicine 12251 S. 80th Avenue, Palos Heights, IL 60463 2009-03-25
1487838546 Beatrice Marie Correa Internal Medicine 12251 S. 80th Avenue, Palos Heights, IL 60463 2007-12-26
1659320950 Romal I Gandhi Internal Medicine 12251 S. 80th Avenue, Palos Heights, IL 60463 2006-05-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932756095 Kim Rusiecki Technician 25 Parliament Drive East, Palos Heights, IL 60463 2019-08-23
1265925218 Sentinel Anesthesia of Illinois, PC Anesthesiology 7340 W College Dr Fl 1, Palos Heights, IL 60463 2018-06-13
1225410848 Deborah Ann Castaneda Skilled Nursing Facility 12350 Natchez Ave., Palos Heights, IL 60463 2015-06-19
1609253160 Tareq Ayyad Physical Therapy Assistant 11730 Lighthouse Ln, Palos Heights, IL 60463 2015-05-04
1366846503 Ryan Teahen Dentist 7600 W College Dr Ste 17, Palos Heights, IL 60463 2014-10-17
1295140309 Paul Park Ophthalmology 7600 W College Dr Ste 9, Palos Heights, IL 60463 2014-06-26
1275976045 Nazim A. Khan Physician Assistant 6450 West College Drive, Palos Heights, IL 60463 2013-04-11
1619246824 Amanda M Ejka Psychologist 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 2011-12-16
1578832937 Sandi Maheras Pharmacist 1703 Spyglass Cir, Palos Heights, IL 60463 2011-12-14
1043597065 Ashraf Olwan Pharmacist 7660 W Sequoia Rd, Palos Heights, IL 60463 2011-11-04
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659822443 Hyeju Jang Nurse Practitioner 12910 S Seneca Rd, Palos Heights, IL 60463-2170 2016-10-18
1548803802 Katarzyna Stopka Nurse Practitioner 7804 W College Dr Ste 1n, Palos Heights, IL 60463-1499 2019-10-18
1437617057 A Hopeful Mind Inc Nurse Practitioner 11952 S Harlem Ave Ste 200a, Palos Heights, IL 60463-1390 2019-03-04
1073863148 Susan Katello Nurse Practitioner 12251 S. 80th Ave, Palos Heights, IL 60463-0930 2012-09-14
1770893158 Charlene Bielecki Nurse Practitioner 12251 S 80th Ave, Palos Heights, IL 60463-1256 2010-10-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851998553 Melissa Litwin Nurse Practitioner 9127 Burlington Ave, Brookfield, IL 60513-1939 2020-10-06
1932724200 Tatyana Menaker Nurse Practitioner 2958 West Devon Ave, Chicago, IL 60659 2020-06-12
1518506625 Lila Macalinga Rivera Nurse Practitioner 17w335 16th St, Oakbrook Terrace, IL 60181-4030 2020-01-06
1922642495 Christine Nacar Nurse Practitioner 1232 Le Moyne Ave, Romeoville, IL 60446-4180 2019-10-29
1144871344 Wensheng Tracy Wu Nurse Practitioner 1555 Barrington Rd Ste 1200, Hoffman Estates, IL 60169-5036 2019-09-27
1881245314 Mkbb LLC Nurse Practitioner 1212 E Algonquin Rd, Algonquin, IL 60102-5446 2019-09-25
1225681455 Jinu Joss Nurse Practitioner 9939 N Warren Oval, Niles, IL 60714-1044 2019-07-17
1659830057 Ginger Dean Nurse Practitioner 2843 Chicago Rd, South Chicago Heights, IL 60411-4736 2019-03-15
1770048910 Amanda K Honchell I Nurse Practitioner 401 W Madison St, Mount Carroll, IL 61053-9485 2019-02-01
1548725799 Grace Nwaka Wabomnor Nurse Practitioner 17 E Grandview Dr, South Holland, IL 60473-1099 2019-02-01
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Competitor

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City PALOS HEIGHTS
Zip Code 60463

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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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