Mab & Associates

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MAB & ASSOCIATES

Practice address

1875 Dempster St Ste 110
Park Ridge, IL 60068-1125

Phone

(712) 214-1017

NPI assigned

Jan 17, 2026

Organization subpart

No

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

Authorized official

Name

Marie Bittner, APNNPI 1134773385

Title

Owner

Phone

(847) 922-1958

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie Bittner, AGNP-C

  • Adult Health Nurse Practitioner
  • Park Ridge, IL
  • NPI 1134773385
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1768608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768608000000",
    "number": "1396604112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 LOCUST AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251426",
            "telephone_number": "847-922-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST STE 110",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681125",
            "telephone_number": "712-214-1017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2409 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606475316",
            "country_code": "US",
            "telephone_number": "712-214-1017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAB & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A",
        "authorized_official_last_name": "BITTNER",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-922-1958",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristyn Lynn, MS, RDN, LDN, CDE
• John H Lyon, M.D.
• Emily Lytle
• Vadim Lyuksemburg, M.D.
• Maaxora Med LLC
• Andrew Charles Macdougall, D.O.
• Stephanie Maceachern
• Samantha Brooke Mackay-Forton
• Bridget Claire Mackey, DPT, PT
• Jason Nathaniel Macklis, M.D.

• Nurse Practitioner in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; 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.