Individual provider Active NPI

Mary Eileen Callaghan, APRN, CNS

  • Advanced Practice Midwife
  • Chicago, IL
National Provider Identifier
1497096853
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209009546 Issued in IL
Practice address
250 E Superior St FL 15
Chicago, IL 60611-2914
Phone
(312) 472-4225
Fax
(312) 472-4226
NPI assigned
Mar 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinical Nurse Specialist 364SX0200X 209.009546 IL
Advanced Practice Midwife 367A00000X 209009546 IL Primary

Addresses

Primary practice location

250 E Superior St FL 15
Chicago, IL 60611-2914

Mailing address

250 E Superior St FL 15
Chicago, IL 60611-2914
Phone (312) 472-4225

Other names 1

  • Mary E McNally Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221026000132 IL Practitioner - Certified Clinical Nurse Specialist (CNS) 3375848922 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.009546ILMDOncology Clinical Nurse Specialist
209009546ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Jul 14, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 14, 2022 Accepting new patients
Central Dupage Physician Group PastSince Oct 16, 2022 Accepting new patients
Northwestern Memorial Hospital PastSince Oct 16, 2022 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

250 E Superior St
#142226
Chicago, IL 60611

250 E Superior St
Fl 15
Chicago, IL 60611
Phone (312) 472-3664

250 E Superior St
Ste 4420
Chicago, IL 60611

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

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.

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1497096853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E SUPERIOR ST FL 15",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112914",
            "telephone_number": "312-472-4225",
            "fax_number": "312-472-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E SUPERIOR ST FL 15",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112914",
            "telephone_number": "312-472-4225",
            "fax_number": "312-472-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAGHAN",
        "first_name": "MARY",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "APRN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "IL",
            "license": "209.009546",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209009546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MCNALLY",
            "middle_name": "E",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.