Active NPI
Maryann Deleon, MD
- Hospitalist Physician
- Highland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036098323
- Practice address
- 777 Park Ave W
Highland Park, IL 60035-2433 - Phone
- (847) 926-5840
- Fax
- (847) 926-5835
- NPI assigned
- Oct 19, 2006
- Last updated
- Sep 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036098323 | IL | |
| Hospitalist Physician | 208M00000X | 036098323 | IL | Primary |
Addresses
Primary practice location
777 Park Ave W
Highland Park, IL 60035-2433
Mailing address
2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (847) 570-2040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036098323 | Other | IL | IL STATE LIC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdeleon10772@direct.northshore.org |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Covenant Management Services, Inc. | Pediatrics | Current | Accepting new patients |
| Swedish Covenant Management Services, Inc | Current | Accepting new patients |
Locations
2740 W Foster Ave
Ste 310
Chicago, IL 60625
5140 N California Ave
Chicago, IL 60625
Phone (773) 275-8811
5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140
Interoperability endpoints
- mdeleon10772@direct.northshore.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Swedish Covenant Medical Group
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
Pediatrics
-
dba Swedish Emergency Medicine
- Emergency Medicine Physician
- Chicago, IL
- NPI 1962049551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1982786091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE STE 1223",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-570-2040",
"fax_number": "847-733-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 PARK AVE W",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600352433",
"telephone_number": "847-926-5840",
"fax_number": "847-926-5835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEON",
"first_name": "MARYANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036098323",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036098323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL STATE LIC",
"identifier": "036098323",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mdeleon10772@direct.northshore.org",
"affiliation": "N",
"address_1": "777 Park Ave W",
"city": "Highland Park",
"state": "IL",
"country_code": "US",
"postal_code": "600352433",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.