Mary Maryland, NP-C, PHD, MSN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209003959 Issued in IL

Practice address

1900 W Taylor St
Suite 172
Chicago, IL 60612-3742

Phone

(312) 413-2042

Fax

(312) 996-5984

NPI assigned

Jul 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Doctor of Philosophy

Practice roles

Locations

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

• Oak Street Health Physicians Group, PC

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1083051643

  Nurse Practitioner

  Medicare reassignment NPD
• Cottage Emergency Physicians LLC

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1790723724
  NPD (past)
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• Paragon Clinical LLC

  • Nurse Practitioner
  • Burr Ridge, IL
  • NPI 1114139946
  NPD (past)
• Paragon Clinical Midwest, LLC

  • Nurse Practitioner
  • Merrillville, IN
  • NPI 1619335700
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093740953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HOME AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W TAYLOR ST",
            "address_2": "SUITE 172",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123742",
            "telephone_number": "312-413-2042",
            "fax_number": "312-996-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARYLAND",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "NP-C, PHD, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209003959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Worden-McGuinness (PsychServe Chicago)
• Mary-Ann M. Mathias, M.D., S.C.
• Tarannum Marya
• Alishba Maryam
• Maryanns Comfort Home Care LLC
• Maryanne H. Marymont, M.D.
• Stephanie Lynn Marynus, LAC
• Maryville Academy (Family Behavioral Health Clinic)
• Maryville Academy
• Maryville Academy

• Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.