Active NPI
Mary Jane A. Nowak, M.D.
- Obstetrics & Gynecology Physician
- Oak Lawn, IL
National Provider Identifier
1134430051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036130807
- Practice address
- 9540 Southwest Hwy
Suite a
Oak Lawn, IL 60453-2802 - Phone
- (312) 513-7700
- NPI assigned
- Jun 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036130807 | IL | Primary |
Addresses
Primary practice location
9540 Southwest Hwy
Suite a
Oak Lawn, IL 60453-2802
Mailing address
9540 Southwest Hwy
Suite a
Oak Lawn, IL 60453-2802
Phone (708) 636-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384214400000",
"number": "1134430051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9540 SOUTHWEST HWY",
"address_2": "SUITE A",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532802",
"telephone_number": "708-636-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9540 SOUTHWEST HWY",
"address_2": "SUITE A",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532802",
"telephone_number": "312-513-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "MARY JANE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2013-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036130807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Lawn, IL
- Nora T. Bellosa, M.D.,S.C.
- North Suburban Orthodontics, LTD
- Northland Hearing Centers, Inc. (The Hearing Lab)
- Novamed Surgery Center of Oak Lawn, LLC (EyeSouth Surgery Center at Oak Lawn)
- Erin Elisabeth Nowak, BCBA, LCSW
- Phillip Aron Nulman
- Emma Elizabeth Nunley, APRN, CNP
- Nursepower Services Corporation
- Kelly Kathleen O'Brien, M.A., CCC-SLP
- Kristin O'Brien, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.