Mary Mennella Nordin, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Practice address

3811 Highland Ave
Downers Grove, IL 60515-1555

Phone

(630) 852-9300

Fax

(630) 852-7773

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mary Mennella Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821150749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 HIGHLAND AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151555",
            "telephone_number": "630-852-9300",
            "fax_number": "630-852-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 HIGHLAND AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151555",
            "telephone_number": "630-852-9300",
            "fax_number": "630-852-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNELLA NORDIN",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MENNELLA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dilio Menacho, MD
• Carolyn Patricia Mendez, ANP-BC
• Kennette Mendoza
• Rosalyn V. Meng, R.N.
• Micheline Mennecke, PHYSICAL THERAPIST
• Lucia Menozi, AU.D.
• Susan Rogan Menozi, A.UD.
• Brandon Merling, M.D
• Metro Classic Inc
• Victoria Meyer, BCBA

• Anesthesiology Physician in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.