Individual provider Active NPI

Mary A Dean Onayemi, MD

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1770518169
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036065557 Issued in IL
Practice address
1701 W Monterey Ave
Suite 11
Chicago, IL 60643-4257
Phone
(773) 238-2282
Fax
(773) 238-5746
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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 036065557 IL Primary

Addresses

Primary practice location

1701 W Monterey Ave
Suite 11
Chicago, IL 60643-4257

Mailing address

1701 W Monterey Ave
Suite 11
Chicago, IL 60643-4257
Phone (773) 238-2282

Other practice location 1

2320 E 93rd St
Chicago, IL 60617-3909
Phone (773) 967-3272

Other identifiers 1

IdentifierTypeStateIssuer
036065557OtherILSTATE LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mdeanonayemi279342@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20060111000569 IL Practitioner - Obstetrics/Gynecology 7719900141 Reassigns benefits to 2 organizations
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians
Chicago Family Health Center IncGroup PAC ID 6608765417, 27 clinicians

Practice addresses (Care Compare)

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

2320 E 93Rd St
Chicago, IL 60617-3909
Phone (773) 967-3999

9119 S Exchange Ave
Chicago, IL 60617-4225
Phone (773) 768-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036065557ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2013 Accepting new patients
Chicago Family Health Center, Inc. Current Accepting new patients
Chicago Family Health Center Inc CurrentSince Aug 18, 2018 Accepting new patients
Chicago Family Health Center, Inc. CurrentSince Aug 18, 2018 Accepting new patients
Advocate Health Centers, Inc. Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 1, 2013 Accepting new patients
Carl B Toren MD Past Accepting new patients
MSMC Investors, LLC Obstetrics & Gynecology Past Accepting new patients
Mary Dean-Onayemi,M.D. PastSince Feb 9, 1998 Accepting new patients

Locations

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

9435 S Western Ave
Chicago, IL 60643
Phone (773) 238-0800

9119 S Exchange Ave
Chicago, IL 60617

2320 E 93rd St
Chicago, IL 60617
Phone (773) 967-2000

29373 Network Pl
Chicago, IL 60673

1945 W Wilson Ave
Fl 4
Chicago, IL 60640
Phone (773) 736-6220

2545 S Ml King Dr
Chicago, IL 60616
Phone (312) 842-7117

21014 Network Pl
Chicago, IL 60673

Interoperability endpoints

  • Direct secure messaging: mary.dean-onayemi.1@18277.direct.athenahealth.com

Organizations & group practices 9

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1770518169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W MONTEREY AVE",
            "address_2": "SUITE 11",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434257",
            "telephone_number": "773-238-2282",
            "fax_number": "773-238-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W MONTEREY AVE",
            "address_2": "SUITE 11",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434257",
            "telephone_number": "773-238-2282",
            "fax_number": "773-238-5746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2320 E 93rd St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606173909",
            "country_code": "US",
            "telephone_number": "773-967-3272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN ONAYEMI",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036065557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036065557",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdeanonayemi279342@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2320 E 93rd St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2320 E 93rd St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.