Individual provider Active NPI

Mary Jean Kleinaitis, NP

  • Family Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1558166751
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209029117 Issued in IL
Practice address
9735 Skokie Blvd
Skokie, IL 60077-1383
Phone
(847) 380-8969
NPI assigned
Feb 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209029117 IL Primary

Addresses

Primary practice location

9735 Skokie Blvd
Skokie, IL 60077-1383

Mailing address

1121 Greenleaf Ave Apt 201
Wilmette, IL 60091-2757
Phone (765) 426-4931

Other practice location 1

6916 Cermak Rd
Berwyn, IL 60402-2244
Phone (708) 933-3840

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
I20250417001096 IL Practitioner - Nurse Practitioner 8628593159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians
Physicians to You Home Health LimitedGroup PAC ID 5193972164, 10 clinicians

Practice addresses (Care Compare)

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

6916 Cermak Rd
Berwyn, IL 60402-2244
Phone (708) 933-3840

8307 W Lawrence Ave
Norridge, IL 60706-3129
Phone (708) 452-0920

9735 Skokie Blvd
Skokie, IL 60077-1383
Phone (847) 380-8969

Hospital & facility affiliations

  • New Haven Home Health Care, Inc Home health agency, Rosemont, IL, CCN 148060
  • Advance Home Health Care, LTD Home health agency, Chicago, IL, CCN 147769
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209029117ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians to You Home Health Limited CurrentSince Feb 11, 2025 Accepting new patients

Locations

6916 Cermak Rd
Berwyn, IL 60402
Phone (708) 933-3840

Organizations & group practices 2

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 4

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": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1558166751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 GREENLEAF AVE APT 201",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912757",
            "telephone_number": "765-426-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 SKOKIE BLVD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771383",
            "telephone_number": "847-380-8969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6916 Cermak Rd",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604022244",
            "country_code": "US",
            "telephone_number": "708-933-3840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEINAITIS",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209029117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.