Active NPI
MD Family Medical Practice LLC
- Primary Care Clinic/Center
- Chicago, IL
National Provider Identifier
1285216242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MD FAMILY MEDICAL PRACTICE LLC
- Practice address
- 7425 W Irving Park Rd
Chicago, IL 60634-2139 - Phone
- (847) 975-6263
- Fax
- (888) 907-8030
- NPI assigned
- Apr 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Derylo, DNP
- Title
- DNP
- Phone
- (847) 975-6263
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
7425 W Irving Park Rd
Chicago, IL 60634-2139
Mailing address
47 Birchwood Rd
Northbrook, IL 60062-1244
Phone (847) 975-6263
Other practice location 1
5838 S Harlem Ave
Summit, IL 60501-1407
Phone (847) 975-6263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7425 W Irving Park Rd
Chicago, IL 60634
Phone (773) 585-7505
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Northbrook, IL
- NPI 1316251176
-
- Legal Medicine
- Chicago, IL
- NPI 1033163563
-
- Family Medicine Physician
- Chicago, IL
- NPI 1679509046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758931200000",
"number": "1285216242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 BIRCHWOOD RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621244",
"telephone_number": "847-975-6263",
"fax_number": "888-907-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7425 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606342139",
"telephone_number": "847-975-6263",
"fax_number": "888-907-8030"
}
],
"practiceLocations": [
{
"address_1": "5838 S Harlem Ave",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "IL",
"postal_code": "605011407",
"country_code": "US",
"telephone_number": "847-975-6263",
"fax_number": "888-907-8030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MD FAMILY MEDICAL PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-28",
"last_updated": "2025-09-27",
"certification_date": "2025-09-27",
"status": "A",
"authorized_official_last_name": "DERYLO",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "DNP",
"authorized_official_telephone_number": "847-975-6263",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.