MARY LYNN KREITER (NPI# 1124080155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124080155 |
| Entity Type | Individual |
| Full Name | MARY LYNN KREITER |
| Credential | MD |
| Practice Address |
2300 Childrens Plaza Box 54 Chicago IL 60614 |
| Practice Telephone | 7738804440 |
| Practice Fax Number | 7738804063 |
| Mailing Telephone | 7738804440 |
| Mailing Fax Number | 7738804063 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2011-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
036074037 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036074037 | 05 |
| Street Address |
2300 CHILDRENS PLAZA BOX 54 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275529828 | Dawn Diaz Saldano | Nurse Practitioner | 2300 Childrens Plaza, Children's Memorial Hospital, Chicago, IL 60614 | 2005-09-20 |
| 1659642940 | Erin Marie Hoeman | Nurse Practitioner | 2300 Childrens Plaza, Chicago, IL 60614 | 2012-01-19 |
| 1932409984 | Kristina N Stein | Occupational Therapist | 2300 Childrens Plaza, Chicago, IL 60614-3363 | 2010-10-25 |
| 1407012735 | Allison Heather Cole | Pediatrics | 2300 Childrens Plaza, Childrens Memorial Hospital, Chicago, IL 60614 | 2008-08-06 |
| 1407021538 | Mandy Tian | Occupational Therapist | 2300 Childrens Plaza, Box 142, Chicago, IL 60614 | 2008-04-29 |
| 1679604193 | Anthony C Chin | Surgery | 2300 Childrens Plaza, Chicago, IL 60614 | 2007-03-08 |
| 1215080460 | Kathleen Quattrocchi Brady | Pediatrics | 2300 Childrens Plaza, Chicago, IL 60614 | 2007-01-19 |
| 1154495448 | Michael David Kelleher | Pediatrics | 2300 Childrens Plaza, Box #73, Chicago, IL 60614-3394 | 2006-11-20 |
| 1285717751 | Susan Jean Daley | Pediatrics | 2300 Childrens Plaza, Chicago, IL 60614-3394 | 2006-10-20 |
| 1063514917 | Sharon M Unti | Pediatrics | 2300 Childrens Plaza, Box #18, Chicago, IL 60614 | 2006-09-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396163671 | Mary Mccauley | Pediatrics | 5841 S Maryland Ave # Mc5053, Chicago, IL 60637-1447 | 2014-04-02 |
| 1447261524 | Jennifer Lynn Miller | Pediatrics | 6501 S Promontory Dr, Chicago, IL 60649-1003 | 2006-08-11 |
| 1962939579 | Apoorva Aekka | Pediatrics | 225 E Chicago Ave # 54, Chicago, IL 60611-2991 | 2017-05-12 |
| 1891058830 | Michelle Blanco Lemelman | Pediatrics | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2012-06-22 |
| 1972891216 | Juan Jose Lado | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2011-07-20 |
| 1437383528 | Claudia Cheryl Boucher-berry | Pediatrics | 840 S Wood St # Mc856, Department of Pediatric Endocrinology, Chicago, IL 60612-4325 | 2009-05-05 |
| 1437314739 | Stelios Mantis | Pediatrics | 1725 W Harrison St, Suite 710, Chicago, IL 60612-3841 | 2008-07-25 |
| 1225292402 | Siri Atma W Greeley | Pediatrics | 5839 S Maryland Ave, Mc5053, Chicago, IL 60637-1463 | 2008-07-16 |
| 1871757567 | Rochelle Nicole Naylor | Pediatrics | 5721 S Maryland Ave, M/c 8016, Chicago, IL 60637-1425 | 2008-07-11 |
| 1871755298 | Roxana L Aguirre Castaneda | Pediatrics | 1801 W. Taylor Street, Suite 2e, Chicago, IL 60612 | 2008-06-26 |
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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.