Mara B Stephenson, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036137792 Issued in IL

Practice address

1420 Renaissance Dr Ste 307
Park Ridge, IL 60068-1343

Phone

(847) 803-1000

Fax

(847) 803-1098

NPI assigned

Mar 21, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Illinois Diagnostic and Interventional Radiology PLLCGroup PAC ID 5092215889, 118 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
• Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
• Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mstephenson234495@direct.myadvocateaurora.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Illinois Diagnostic and Interventional Radiology PLLC

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1114723608
  Medicare reassignment Care Compare group NPD
• Advanced Radiology Consultants SC

  • Diagnostic Radiology Physician
  • Park Ridge, IL
  • NPI 1750380119
  Medicare reassignment NPD
• Integrated Imaging Consultants LLC

  • Diagnostic Radiology Physician
  • Park Ridge, IL
  • NPI 1700285335
  Medicare reassignment NPD
• Pco PC

  • Diagnostic Radiology Physician
  • Lowville, NY
  • NPI 1881230563

  IL

  Medicare reassignment NPD
• Radpod FL PLLC

  • Diagnostic Radiology Physician
  • Port St Lucie, FL
  • NPI 1730075672
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Resurrection Medical Center - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811735228
  Care Compare affiliation
• Saint Francis Hospital - Evanston LLC

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1982442398
  Care Compare affiliation
• Saint Mary of Nazareth Hospital - Chicago LLC

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1265270607
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1093080103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR STE 307",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681343",
            "telephone_number": "847-803-1000",
            "fax_number": "847-803-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR STE 307",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681343",
            "telephone_number": "847-803-1000",
            "fax_number": "847-803-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "MARA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036137792",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036137792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstephenson234495@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "1420 Renaissance Dr Ste 307",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1420 Renaissance Dr Ste 307",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Irmina Stec, DO
• Sumira Stein, DO
• Guy Steinberg, MD
• Stacey Elaine Steinke, LCSW
• Courtney Steller, D.O.
• Carolyn Beth Gevirtz Stern, LCSW
• Keenen Stevenson
• Ann Stevoff, M.D.
• Jordan Stewart, MA, MS, NCC, LPC
• Duane David Stich, M.D.

• Diagnostic Radiology Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.