Active NPI
Mary C Hutton, MD
- Family Medicine Physician
- Oak Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-077730
- Practice address
- 1100 Lake St Ste 230
Oak Park, IL 60301-1095 - Phone
- (331) 221-9001
- Fax
- (331) 221-2305
- NPI assigned
- Aug 29, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-077730 | IL | Primary |
Addresses
Primary practice location
1100 Lake St Ste 230
Oak Park, IL 60301-1095
Mailing address
2650 Ridge Ave # 1223
Evanston, IL 60201-1700
Phone (847) 982-3175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036077730 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mhutton41761@direct.edward.org | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Ohio, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 Lake St
Suite 230
Oak Park, IL 60301-1095
Phone (331) 221-9001
2650 Ridge Ave
Evanston, IL 60201-1700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-077730 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Family Medicine | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Elmhurst Memorial Healthcare | Current | Accepting new patients | |
| Elmhurst Memorial Healthcare | Current | Accepting new patients | |
| West Suburban Medical Center | Family Medicine | Past | Accepting new patients |
| Wyse Eyecare SC | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779
1100 Lake St
Ste 210G
Oak Park, IL 60301
6645 North Ave
Lowr 1
Oak Park, IL 60302
Phone (708) 524-1420
1100 Lake St
Ste 230
Oak Park, IL 60301
Phone (331) 221-9244
4201 Winfield Rd
Fl 4
Warrenville, IL 60555
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Family Medicine
-
- Multi-Specialty Clinic/Center
- Elmhurst, IL
- NPI 1457493454
-
- Multi-Specialty Clinic/Center
- Oak Park, IL
- NPI 1760692362
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Family Medicine Physician
- Chicago, IL
- NPI 1649499096
-
- Ophthalmology Physician
- Northbrook, IL
- NPI 1316272289
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
-
- Community Based Hospice Care Agency
- Chicago, IL
- NPI 1598844474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1164415808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE # 1223",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-982-3175",
"fax_number": "847-982-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LAKE ST STE 230",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011095",
"telephone_number": "331-221-9001",
"fax_number": "331-221-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTTON",
"first_name": "MARY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-29",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-077730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036077730",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mhutton41761@direct.edward.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1100 Lake St Ste 230",
"city": "Oak Park",
"state": "IL",
"country_code": "US",
"postal_code": "603011095",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.