Individual provider Active NPI

Mary Oshipitan

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1710736640
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209029655 Issued in IL
Practice address
8001 S Western Ave
Chicago, IL 60620-5930
Phone
(773) 436-6600
NPI assigned
May 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209029655 IL Primary

Addresses

Primary practice location

8001 S Western Ave
Chicago, IL 60620-5930

Mailing address

17907 Fairoaks Dr
Country Club Hills, IL 60478-2930
Phone (773) 870-2970

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
I20240711001698 IL Practitioner - Nurse Practitioner 6406391754 Reassigns benefits to 5 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
CMC Healthcare LLCGroup PAC ID 4688039209, 133 clinicians
Trio Health Medical Il Psychiatry Partners PLLCGroup PAC ID 7416453618, 4 clinicians
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Altea Medical Illinois PLLCGroup PAC ID 5799129730, 30 clinicians

Practice addresses (Care Compare)

2145 E 170TH St
South Holland, IL 60473-3788
Phone (708) 895-3255

490 W 16TH PL
Chicago Heights, IL 60411-3224
Phone (877) 883-9430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209029655ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J C Medical Group LTD CurrentSince Dec 1, 2025 Accepting new patients
Altea Medical Illinois PLLC CurrentSince May 23, 2024 Accepting new patients
Ade Esthetics Medbar CurrentSince May 19, 2024 Accepting new patients
CMC Healthcare LLC CurrentSince Mar 23, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince May 23, 2024 Accepting new patients
Trio Health Medical Il Psychiatry Partners PLLC CurrentSince Aug 25, 2025 Accepting new patients

Locations (25 of 66)

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

422 E 4th St S
Arcola, IL 61910
Phone (217) 268-3022

2330 W Galena Blvd
Aurora, IL 60506
Phone (630) 896-4682

1201 Dixie Hwy
Beecher, IL 60401
Phone (708) 946-2600

601 N Morgan St
Bement, IL 61813
Phone (217) 678-2191

5400 W 87th St
Burbank, IL 60459
Phone (708) 346-6236

1315 Curt Dr
Champaign, IL 61821
Phone (217) 352-5707

5130 W Jackson Blvd
Chicago, IL 60644
Phone (773) 287-1429

3405 S Michigan Ave
Chicago, IL 60616
Phone (312) 326-9101

3400 S Indiana Ave
Chicago, IL 60616
Phone (312) 482-5000

2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599

2940 W 87th St
Chicago, IL 60652
Phone (773) 265-3403

2320 S Lawndale Ave
Chicago, IL 60623
Phone (773) 522-0400

2425 E 71st St
Chicago, IL 60649
Phone (773) 721-5000

6450 N Ridge Blvd
Chicago, IL 60626
Phone (773) 742-8700

4505 S Drexel Blvd
Chicago, IL 60653
Phone (773) 285-0550

6033 N Sheridan Rd
Ste N6
Chicago, IL 60660
Phone (773) 275-4800

2833 N Nordica Ave
Chicago, IL 60634
Phone (773) 622-6144

2649 E 75th St
Chicago, IL 60649
Phone (773) 356-9300

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

1190 E 2900 North Rd
Clifton, IL 60927
Phone (815) 326-5792

13259 S Central Ave
Crestwood, IL 60418
Phone (708) 239-6060

14255 Cicero Ave
Crestwood, IL 60418
Phone (708) 371-0400

1251 E Richton Rd
Crete, IL 60417
Phone (708) 367-4414

1000 E Brighton Ln
Crystal Lake, IL 60012
Phone (815) 455-8400

Organizations & group practices 6

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": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1710736640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17907 FAIROAKS DR",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604782930",
            "telephone_number": "773-870-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606205930",
            "telephone_number": "773-436-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHIPITAN",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209029655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.