Mary Elizabeth Fry, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036064422 Issued in IL

Practice address

2800 N Sheridan Rd Ste 309
Chicago, IL 60657-6160

Phone

(773) 248-6913

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Internal Medicine

Education

University of Michigan Medical School, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BDJACA
• Direct secure messaging: mfry12109@ce-direct.presencehealth.org

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.

• Presence Healthcare Services

  • Multi-Specialty Clinic/Center
  • Elk Grove Village, IL
  • NPI 1932216819
  Medicare reassignment Care Compare group
• McDermott Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1457004046
  Medicare reassignment NPD
• Presence Healthcare Services

  • Allergy & Immunology (Internal Medicine) Physician
  • Chicago, IL
  • NPI 1790078053
  NPD
• Fabian Carbonell MD SC

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1578767935
  NPD (past)
• Lake Shore Adult & Geriatric Medicine, LTD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1326056276
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1801996368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD",
            "address_2": "STE 408",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-281-7711",
            "fax_number": "773-248-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD STE 309",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576160",
            "telephone_number": "773-248-6913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 N Sheridan Rd",
            "address_2": "Ste 408",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606576156",
            "country_code": "US",
            "telephone_number": "773-281-7711",
            "fax_number": "773-248-7556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRY",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "IL",
            "license": "036064422",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036064422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360644Z2",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfry12109@ce-direct.presencehealth.org",
            "affiliation": "N",
            "address_1": "2800 N Sheridan Rd Ste 309",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606576160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandra T Fry
• Brett W Fry, PSY.D.
• Colin M E Fry, MD
• Deborah Fry, L.C.P.C.
• Jessica Teresa Fry, MD
• Micah Fry, LCSW
• Peter Walter Fry
• Stephanie Fry, PHD
• Louis Frydman, D.D.S.
• Abigail Frydryk, APRN, CNP

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.