Active NPI
Marian Cardwell, MD
- Surgery Physician
- Park Ridge, IL
National Provider Identifier
1558045963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 125.086164
- Practice address
- 1775 Dempster St # 48
Park Ridge, IL 60068-1143 - Phone
- (847) 723-2210
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 125.086164 | IL | Primary |
Addresses
Primary practice location
1775 Dempster St # 48
Park Ridge, IL 60068-1143
Mailing address
1775 Dempster St # 48
Park Ridge, IL 60068-1143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.086164 | IL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1558045963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 DEMPSTER ST # 48",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 DEMPSTER ST # 48",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681143",
"telephone_number": "847-723-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDWELL",
"first_name": "MARIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "125.086164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.