Mary Lynn Kreiter, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

036074037 Issued in IL

Practice address

2300 Childrens Plaza
Box 54
Chicago, IL 60614

Phone

(773) 880-4440

Fax

(773) 880-4063

NPI assigned

Apr 5, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316908800000",
    "number": "1124080155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CHILDRENS PLAZA",
            "address_2": "BOX 54",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60614",
            "telephone_number": "773-880-4440",
            "fax_number": "773-880-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CHILDRENS PLAZA",
            "address_2": "BOX 54",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60614",
            "telephone_number": "773-880-4440",
            "fax_number": "773-880-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREITER",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "IL",
            "license": "036074037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074037",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Kreimes, DPT
• Tamara Glenda Kreindel, MD
• Steven Patrick Kreis, DO
• Charlotte Kreissler
• Jamie Kreiter, LCSW
• Alison Gieren Krejci, LMT
• Tatiana Krejci, M.D.
• Tom Krejcie, MD
• Krell-Reuben Oral Surgery LTD.
• Michael A. Krell, D.D.S., M.S.

• Pediatric Endocrinology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Endocrinology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.