Mary Lynne Metz, APRN, BC

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

Practice address

2515 N Clark St Ste 907
Primary Care Medical Associates
Chicago, IL 60614-2720

Phone

(773) 871-4409

Fax

(773) 871-3608

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376757773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 N 3RD AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601531017",
            "telephone_number": "708-287-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 N CLARK ST STE 907",
            "address_2": "PRIMARY CARE MEDICAL ASSOCIATES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142720",
            "telephone_number": "773-871-4409",
            "fax_number": "773-871-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZ",
        "first_name": "MARY",
        "middle_name": "LYNNE",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mettler Institute LLC
• Praveen Sai Mettu, M.D.
• Omar Azzam Mohamed Metwally, MBBCH
• Ashley M Metz, D.D.S.
• Athanasia Nancy Metz, MSW, LCSW
• Miranda Agnes Metz
• Sloan V Metz, DPM
• Mackenzie Marie Metzger, EDS, NCSP, MA
• Olivia Metzger
• Abbey Elizabeth Metzler, LCSW

• Gerontology Clinical Nurse Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Gerontology Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.