Individual provider · Type 1 NPI

Mary Maryland, NP-C, PhD, MSN

Nurse Practitioner · Chicago, IL

NPI number 1093740953 Active

Practice location

1900 W Taylor St, Suite 172
Chicago, IL 60612-3742

Fax (312) 996-5984

Mailing address

420 Home Ave
Oak Park, IL 60302-3770

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209003959 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1093740953

Mary Maryland, NP-C, PhD, MSN's National Provider Identifier is 1093740953, issued on Jul 11, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.