MARY E MCRAVEN (NPI# 1003168428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003168428 |
| Entity Type | Individual |
| Full Name | MARY E MCRAVEN |
| Other Name | MARY E POLNIAK |
| Credential | PA-C |
| Practice Address |
911 N Elm St Suite 128 Hinsdale IL 60521-3634 |
| Mailing Address |
2001 Butterfield Rd Ste 300 Downers Grove IL 60515-1069 |
| Practice Telephone | 6308567460 |
| Practice Fax Number | 6306559943 |
| Mailing Telephone | 6308567460 |
| Mailing Fax Number | 6306559943 |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2016-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085004482 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
911 N ELM ST SUITE 128 |
| City | HINSDALE |
| State | IL |
| Zip Code | 60521-3634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871550798 | Lisa Holmes | Family Medicine | 911 N Elm St, Ste 123, Hinsdale, IL 60521-3634 | 2006-04-26 |
| 1083184469 | Lija Jacob | Nurse Practitioner | 911 N Elm St, Hinsdale, IL 60521-3634 | 2018-11-28 |
| 1366989204 | Joshua Morris | Counselor | 911 N Elm St, Hinsdale, IL 60521-3634 | 2017-01-30 |
| 1750767745 | Vascular and Interventional Professionals, LLC | Surgery | 911 N Elm St, Ste 128, Hinsdale, IL 60521-3634 | 2015-08-03 |
| 1487058673 | Adventist Health Partners, Inc. | Dietitian, Registered | 911 N Elm St, 115, Hinsdale, IL 60521-3634 | 2014-10-16 |
| 1457766347 | Anna Dolan | Counselor | 911 N Elm St, Suite 316, Hinsdale, IL 60521-3634 | 2014-06-30 |
| 1619382660 | Monique Prohaska-slattery | Counselor | 911 N Elm St, Suite 316, Hinsdale, IL 60521-3634 | 2014-06-29 |
| 1487064804 | Adventist Health Partners, Inc. | Internal Medicine | 911 N Elm St, Ste 115, Hinsdale, IL 60521-3634 | 2014-05-07 |
| 1386075893 | Adventist Health Partners, Inc | Internal Medicine | 911 N Elm St, Suite 115, Hinsdale, IL 60521-3634 | 2013-12-09 |
| 1225390479 | Lanay L Samuelson | Nurse Practitioner | 911 N Elm St, Ste 115, Hinsdale, IL 60521-3634 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256170 | Infinity Yoga LLC | Counselor | 702 Mills St, Hinsdale, IL 60521 | 2020-08-21 |
| 1427696855 | Anne Didier | Nurse Practitioner | 40 South Clay St., Suite 200, West Building, Hinsdale, IL 60521 | 2019-12-16 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
| 1639680275 | Kelly M Lyell | Psychologist | 950 S Oak St, Hinsdale, IL 60521 | 2017-10-23 |
| 1386169720 | Elizabeth Ann Thorsness | Counselor | 412 East Fourth St., Hinsdale, IL 60521 | 2017-08-07 |
| 1275057424 | Bryndal Nicole Chervinko | Audiologist | 908 North Elm Street, Suite 306, Hinsdale, IL 60521 | 2017-07-31 |
| 1972038990 | Carolyn M Ball | Counselor | 19 N Grant St Ste 2c, Hinsdale, IL 60521 | 2017-04-27 |
| 1710429964 | Smiling Star Speech & Language | Speech-Language Pathologist | 120 E Odgen Avenue, Suite 110, Hinsdale, IL 60521 | 2016-11-04 |
| 1972964773 | Sharon Grob Murphy | Psychologist | 728 S. Park Ave., Hinsdale, IL 60521 | 2016-03-08 |
| 1992187074 | Matthew Destefani | Emergency Medicine | 109 Symonds Dr # 578, Hinsdale, IL 60521 | 2015-06-24 |
| Find all providers in zip 60521 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679069033 | Brian Allen Breckley | Physician Assistant | 12 Salt Creek Ln Ste 105, Hinsdale, IL 60521-8607 | 2018-07-09 |
| 1063483022 | Rebekah Autumn Fisher | Physician Assistant | 115 E 1st St, Suite 2w, Hinsdale, IL 60521-4280 | 2006-01-30 |
| 1477162089 | Lauren Elizabeth Reineke | Physician Assistant | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2020-07-29 |
| 1003452160 | Joseph P Mcdaniel | Physician Assistant | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2019-11-25 |
| 1750939674 | James Schneider | Physician Assistant | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2019-09-04 |
| 1467937599 | Benjamin Albert George | Physician Assistant | 911 N Elm St Ste 128, Hinsdale, IL 60521-3640 | 2018-09-25 |
| 1366932469 | Emily Ann Giese | Physician Assistant | 550 W Ogden Ave, Hinsdale, IL 60521 | 2018-05-14 |
| 1760982540 | Christopher Williams | Physician Assistant | 911 N Elm St Ste 128, Hinsdale, IL 60521-3640 | 2018-02-18 |
| 1528571262 | Luke W Anliker | Physician Assistant | 550 W Ogden Ave, Hinsdale, IL 60521-3186 | 2017-11-15 |
| 1922519149 | Mohammed Memon | Physician Assistant | 908 N Elm St Ste 301, Hinsdale, IL 60521-3625 | 2017-10-15 |
| Find all providers in HINSDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.