Individual provider · Type 1 NPI
Mary Spedale
Nurse Practitioner · Chicago, IL
Practice location
900 W Nelson St
Chicago, IL 60657-6704
Fax (773) 296-7731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209035144 (IL) |
| Registered Nurse | 163W00000X | 041443146 (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 1265373310
Mary Spedale's National Provider Identifier is 1265373310, issued on Apr 2, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 29, 2026.