Individual provider Active NPI

Mary K Dahilig, APN, FNP-BC

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1225314990
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277003870 Issued in IL
Practice address
20 S Clark St FL 11
Chicago, IL 60603-1882
Phone
(312) 926-3627
Fax
(312) 357-2284
NPI assigned
Oct 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209009165 IL
Family Nurse Practitioner 363LF0000X 209009165 IL
Nurse Practitioner 363L00000X 277003870 IL Primary

Addresses

Primary practice location

20 S Clark St FL 11
Chicago, IL 60603-1882

Mailing address

20 S Clark St FL 11
Chicago, IL 60603-1882
Phone (312) 926-3627

Other practice location 1

5999 New Wilke Rd Ste 200
Rolling Meadows, IL 60008-4502
Phone (847) 618-0800

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111227000477 IL Practitioner - Nurse Practitioner 8022284959 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

20 S Clark
11TH Floor
Chicago, IL 60603-1882
Phone (312) 926-6146

4445 W Irving Park Rd
Chicago, IL 60641-2808

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277003870ILMDNurse Practitioner
209009165ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Dec 1, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 20, 2025 Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Nov 17, 2011 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 20, 2025 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

26W212 Geneva Rd
Carol Stream, IL 60188
Phone (630) 510-1065

Dept 5777
Carol Stream, IL 60122

9532 Eagle Way
Chicago, IL 60678

20 S Clark St
Fl 11
Chicago, IL 60603
Phone (312) 977-1708

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

5999 New Wilke Rd
Ste 200
Rolling Meadows, IL 60008
Phone (847) 255-7107

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1225314990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S CLARK ST FL 11",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606031882",
            "telephone_number": "312-926-3627",
            "fax_number": "312-357-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S CLARK ST FL 11",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606031882",
            "telephone_number": "312-926-3627",
            "fax_number": "312-357-2284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5999 New Wilke Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rolling Meadows",
            "state": "IL",
            "postal_code": "600084502",
            "country_code": "US",
            "telephone_number": "847-618-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHILIG",
        "first_name": "MARY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "APN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209009165",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009165",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277003870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.