Individual provider Active NPI

Mary Faith C. Terkildsen, MD

  • Obstetrics & Gynecology Physician
  • Lake Forest, IL
National Provider Identifier
1407870199
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036103018 Issued in IL
Practice address
959 S Waukegan Rd FL 2
Lake Forest, IL 60045-2654
Phone
(847) 234-3250
Fax
(847) 234-7765
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036103018 IL Primary

Addresses

Primary practice location

959 S Waukegan Rd FL 2
Lake Forest, IL 60045-2654

Mailing address

959 S Waukegan Rd FL 2
Lake Forest, IL 60045-2654
Phone (847) 234-3250

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mterkildsen16921@direct.northshore.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050830000436 IL Practitioner - Obstetrics/Gynecology 6709817604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tulane University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians
OB-Gyne Associates of Lake Forest LTDGroup PAC ID 2769474568, 8 clinicians

Practice addresses (Care Compare)

225 N Milwaukee Ave
Vernon Hills, IL 60061-4304
Phone (847) 941-7600

2650 Ridge Ave
Evanston, IL 60201-1700

36100 N Brookside Dr
Suite 204
Gurnee, IL 60031-4573
Phone (847) 234-3250

7900 Rollins Rd
Gurnee, IL 60031-1512

915 S Waukegan Rd
Lake Forest, IL 60045-2654

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Oct 1, 2002 Accepting new patients
OB-Gyne Associates of Lake Forest, LTD. CurrentSince Jan 27, 2026 Accepting new patients
Endeavor Health Medical Group Obstetrics & Gynecology Current Accepting new patients
Pediatrust, L.L.C. PastSince Jan 27, 2026 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

190 Waukegan Rd
Ste B
Deerfield, IL 60015
Phone (847) 945-4575

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

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

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

36100 N Brookside Dr
Ste 204
Gurnee, IL 60031
Phone (847) 234-3250

959 S Waukegan Rd
#2
Lake Forest, IL 60045
Phone (847) 234-3250

225 N Milwaukee Ave
Vernon Hills, IL 60061
Phone (847) 941-7600

Interoperability endpoints

  • Direct secure messaging: mterkildsen16921@direct.northshore.org

Organizations & group practices 4

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1407870199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 S WAUKEGAN RD FL 2",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452654",
            "telephone_number": "847-234-3250",
            "fax_number": "847-234-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 S WAUKEGAN RD FL 2",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452654",
            "telephone_number": "847-234-3250",
            "fax_number": "847-234-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERKILDSEN",
        "first_name": "MARY FAITH",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036103018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mterkildsen16921@direct.northshore.org",
            "affiliation": "N",
            "address_1": "225 N Milwaukee Ave",
            "city": "Vernon Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600614304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.