Organization Active NPI

MD Family Medical Practice LLC

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1285216242
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Sep 27, 2025

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

Authorized official

Name
Maria Derylo, DNPNPI 1316251176
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20210519001956 IL Part B Supplier - Clinic/Group Practice 9234538513 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL; Summit, IL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.